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Netti 4U comfort compact easy to use design Date Invoice address Invoice address = delivery address Customer code C- Contact person Reference Other delivery address Offer Order Basic price: 2.750,- Excl. VAT Seat width: D65035S 35 cm (seat depth 37,5 45 cm) D65040S 40 cm (seat depth 37,5 45 cm) D65043S 43 cm (seat depth 37,5 45 cm) D65043 43 cm (seat depth 42,5 50 cm) D65045 45 cm (seat depth 42,5 50 cm) D65050 50 cm (seat depth 42,5 50 cm) Capacity Max 140 kg Seat height See page 7 Seat depth Adjustable by 2,5 cm per step = Standard equipment Quick order Item nr. Description Price in Standard Head rest A, with side support 0,- D27574 Head rest B, small, oval 0,- D27573 Head rest C, large, square 0,- D27572 Head rest D, comfort (pressure distributive) only with 3D cover 58,- D22085 Drum brakes (brake handles mounted on push bow) 208,- D25059 Universal tray for SW 35-43 cm 145,- D25060 Universal tray for SW 45-50 cm 145,- D21052 Upholstery for tray 78,- D21022 Easy Care cover (not available for VB Venti or Netti Sit C) 0,- Think of the environment before printing! Fax only contains page 1! Version 2 All prices are list prices excl. VAT Right for changes reserved Valid until a new pricelist is published Page 1 of 5

FRAME Standard Angle adjustable push bow 0,- Standard Anti tip, swingable 0,- Standard User brake 0,- D28972 Anti tip with pedal 177,- D29474 Tilt-restrictor (no negative tilt frontwards) 28,- D41074 Car fastening 123,- BACK UNIT Standard Back cushion Netti UNO with 10 cm side support with 3D cover 0,- Standard Back height 50 cm (incl. adjustable velcro back) 0,- D41006 Back height 60 cm (incl. back extender + longer cushion) 267,- D21105 Without back cushion Netti Uno -55,- D27374 Side support Correction left for Netti UNO 155,- D27375 Side support Correction right for Netti UNO 155,- D27542 Side support upholstery Correction 68,- D21333 Back cushion Netti STABIL with 17 cm side support - 3D cover 310,- D21334 Back cushion Netti SUPER STABIL with 17 cm reinforced side 360,- support - 3D cover D20630 Back cushion Netti KYPHOTIC - Mars/3D cover - only back height 50 cm 635,- D26831 Side support Stable left - for Netti STABIL and SUPER STABIL 155,- D26844 Side support Stable right - for Netti STABIL and SUPER STABIL 155,- D27541 Side support upholstery Stable 94,- D21084 Back wedge 99,- D21042 Lumbar support 99,- SEAT UNIT Standard Seat cushion Netti UNO 3D cover 0,- D21048 Incontinence cover for seat cushion 151,- D21101 Without seat cushion Netti UNO -55,- D21007 Anti-decubitus seat cushion Netti SIT 3D cover incl. incontinence layer 229,- D21017 Anti-decubitus seat cushion Netti SIT C with temperature regulating 464,- features - 3D cover D19730 Seat cushion Netti CONTOUR with 3D cover, from seat width 45 cm 219,- D63400 Vital Base Venti - anti-decubitus seat cushion with 3D cover 354,- D60001 Abduction belt SW 35-45 cm 375,- D60002 Abduction belt SW 50 cm 375,- D20845 Hip belt, with upholstery and car belt lock 75,- D27493 Abduction block small (W: 8 cm x L: 14 cm x H: 8 cm) 177,- D27494 Abduction block medium (W: 11 cm x L: 15 cm x H: 8 cm) 177,- D27495 Abduction block large (W: 14 cm x L: 17 cm x H: 8 cm) 177,- Version 2 All prices are list prices excl. VAT Right for changes reserved Valid until a new pricelist is published Page 2 of 5

LEG RESTS AND ACCESSORIES Standard Manual adjustable leg rests with automatic length adjustment, angle 0,- adjustable foot plates, calf supports and knee upholstery D24005 Universal leg rests with knee angle adjustment, adjustable below 90 for 99,- contract leg situations D21080 Reinforced leg rests 450,- D21044 Foot board, adjustable 188,- D21041 Foot box upholstered 302,- D24000 Calf support hinged (possible to swing underneath the chair) 125,- D21745 Calf support bracket upholstery 74,- D41617 Calf support upholstery 140,- D23014 Foot fixation 92,- D28453 Foot plate upholstery (not for foot board) 234,- ARM REST AND ACCESSORIES FOR ARM REST Standard Arm rest height and depth adjustable, removable 0,- Standard Arm pads 385 x 58 mm 0,- D41649 Arm pad upholstery extra soft 85,- D23003 Hemiplegic cushion 167,- D29459 Arm support hemiplegic left (not to be combined with a tray) 188,- D29460 Arm support hemiplegic right (not to be combined with a tray) 188,- D29487 Arm support comfort pad left 52,- D29486 Arm support comfort pad right 52,- MAIN AND FRONT WHEELS Standard 24 x 1" PU + 7 175 x 33 PU 0,- D22007 Main wheel 22 x 1" PU + front wheel 6 150 x 30 PU 115,- D21021 Front wheel 7-175 x 45 flexel - necessary for supportive engines 68,- M70315 Main wheels 12½ PU with drum brakes 345,- (Please note! These wheels are delivered in an extra box and are to be mounted by the dealer) M70316 Main wheels 16 PU with drum brakes 345,- (Please note! These wheels are delivered in an extra box and are to be mounted by the dealer) D22009 Hand and spoke protector - transparent 120,- D22013 Push rim cover 94,- Version 2 All prices are list prices excl. VAT Right for changes reserved Valid until a new pricelist is published Page 3 of 5

ACCESSORIES FOR HEADRESTS (please also see page 1) D21027 Headrest adjustment tube (horizontal) + 10 cm, length 25 cm 67,- D21028 Headrest adjustment tube (horizontal) + 23 cm, length 38 cm 77,- D21054 Headrest adjustment tube (vertical) + 10 cm, length 50 cm 69,- D23004 Comfort cushion for head rest type C removable with Mars cover 141,- D23012 Easy Care cover for head rest type A, B, C removable 52,- D23015 Grey head rest cushion with Mars cover 160,- TRAYS (please also see page 1) D28826 Tray swing able for SW 35-40 cm 185,- D28832 Tray swing able for SW 43-50 cm 185,- D28828 Tray lockable for SW 35-40 cm 185,- D28836 Tray lockable for SW 45-50 cm 185,- VARIOUS ACCESSORIES D21087 Clinic-kit (tools) 98,- D21239 Tool kit 78,- D41987 Intravenous rack 234,- CUSTOM MADE most wanted special adapted items (price on request) Reinforced foot plates, aluminium, pair Headrest A with head band Headrest with adjustable side supports Headrest with cheek support Extra-long calf supports (please state length) Netti Dynamic System please see separate order form Version 2 All prices are list prices excl. VAT Right for changes reserved Valid until a new pricelist is published Page 4 of 5

TECHNICAL DATA Tilt (seat) -5 to +20 Recline (back) 92 to 137 Total width of the wheelchair Seat width + 18 cm Total length 102 cm with leg rests Total height 105 cm Weight of wheelchair App. 30 kg (without cushions) Frame colour Grey Cover variant Stretchable & flexible cover 3D Easy Care antibacterial cover, washable Seat height WITHOUT seat cushion (measured from floor to seat plate) With D22007 (22 + 6 wheels) the seat height 44 or 46.5 cm can be reached. Leg rest type Min. calf length Max. calf length Manual adjustable leg rests 32 cm 68 cm Universal leg rests 36 cm 50 cm Version 2 All prices are list prices excl. VAT Right for changes reserved Valid until a new pricelist is published Page 5 of 5