T R E M O R

T R E M O R
S P O R T
B I L L
2 0 0 9
860 E. Parkridge Avenue, Corona, CA 92879
Tel: 951-808-9131 Fax: 951-808-9949
Toll Free: 800-892-8998 www.colourswheelchair.com
ORDER FORM
T O
Company
P.O.#
Completed by
Address
Date
S/N
For Office Use Only
Email Address
City
State
Zip
Disability
Weight
Height
Customer Name
Client Signature
S H I P
Phone
X
Fax
Email
T O
Name
Company
Address
City
Phone
State
A
Zip
M E A S U R E M E N T S
F R A M E
1. Seat Width
2. Seat Depth
Seat Depth
14 15 16 17 18
12 13 14 15 16
10 11 17 18 (Upcharge)
$
$
$
std
std
150
A.
B.
C.
D.
Cushion Thickness
Camber Angle (0°-14°)
Lower Leg Length
Inside Wheel Clearence
_____" 1”-4”
_____° (0°,2°,4°,6°,8°,10°,12°,14°)
_____"
_____" 1” is std.
$
std
4. Front Seat Height
5. Rear Seat Height
$
$
std
150
6. Overall Width = frame width + 14”
B A C K R E S T
(Adj. Range)
3. Height
Type
(Adj. Range)
8 | 9 10 11 12 | 13 14 15 |
16 | 17 | 18 |
Folding with adjust. height and angle
NEW Locking mechan. (adjust. angle)
A X L E
_____" 5" - 21"
_____" 14" - 21" (w/24" rear wheel)
Custom Dimensions Available. Contact Colours For Details.
P L A T E
Fatso Wheels - Camber Disc 2°
Other Wheels - Camber Disc 2° 4° 6° 8° 10°
$
$
std
std
F O O T P L A T E S
Standard single loop adjustable
(with riser if necessary)
Single Flip Back - single loop (no riser avail.)
$
$
std
150
A
3
Base Wheelchair Price
Total Section A
Total Section B
Total Section C
Total Section D
Custom Modifications Quoted
$ 3,936
$_______
$_______
$_______
$_______
$_______
Order Grand Total
$_______
D
MAX CAPACITY
B
2
1
C
4
5
6
N O T E S
B
W H E E L S
&
T I R E S
FATSO 24” x 4” wide Alu. Rim / Ballon Tire/Big-Button Q.R.
Heat-Treated wheel *
24" 25" 26"
Twister Super Strength wheel *
24" 25" 26"
Spinergy SLX 18 spokes (sport)* 24" 25" 26" Spokes Black Yellow Blue Red
Knobby Tires (Offroad Tread)
24" moderate tread
25" aggressive tread
Bite Laced Wheels with NEW locking hubs patent pending 24" or 25" with h.p. tire
$
$
$
$
$
$
* With black wall hi-press. tire
Other Wheel/Tire Combinations Available. Contact Colours For Details Section B Total
$ ______
std
420
420
std
117
799
Valid From Jan ‘09. Prices & Specifications Are Subject To Change Without Notice.
Handrims
Standard For 24", 25",or 26" Wheel Anodized Black
Vinyl Coated
Black
The Natural-Fit Handrim 24" or 25" with reg. grip or super grip +$55
The Natural-Fit Handrim (LT) 24" or 25" with reg. grip or super grip +$85
$
$
$
$
std
142
295
325
$
std
$
$
$
$
126
142
142
199
Casters
FATSO 8” by 2” pneumatic casters
Push Handles
Integrated w/ Fixed Backrest Height
Bolt-On
Quick Release (Add $48) specify ht. from floor______”
Slider Type Quick Release
Overall Length 12” 16” 20”
Adjustable Height Push Handles
(not available with armrest)
Seat Cushion
Foam Cushion w/ Nylon Cover
The Curve Cushion (Rehab Co.)
E0734 ROHO Cushion Quadtro
E0734 ROHO Nexus Spirit Cushion
1"
3"
2"
2"
2" 3" 4"
Low Profile 4" High Profile (USA only)
(USA only)
Low Profile Everything should be as simple as it is, But not simpler.
Albert Einstein
C
T R E M O R ‘ 0 9
C O M P O N E N T S & A C C E S S O R I E S
$ 78
$ 133
$ 525
$ 525
Miscellaneous
E0971 Anti-Tippers (pair)
Quick Release
PRO-TEX Fender Guards - Black ABS (Bolt-on only) Cut to fit Specs.
Rigid Side Guards - Black ABS
removable non-removable
Rigid Side Guards - Alum.
removable bolt-on
Fabric Clothing Guards
Black Nylon w/Velcro
Frame Protectors
Black Leather/Zipper type
K0065 Spoke Protectors
24" 25" 26" Black
E0978 Seat Belt w/Auto Buckle
1 1/2” Belt
K0038 Calf Strap - adjustable length Black
Do not Install cut to wheel
pol. alum. Black
$
$
$
$
$
$
$
$
$
112
175
142
197
78
78
107
69
24
Frame Colors (Powder-coated)
Gloss Black
Twilight Flake
Midnight Blue
Blue Green
Matte Green
Custom Color
Candy Blue
White
Yellow
Metallic Gray
Candy Red
Candy Purple Candy Green
Fuschia
Fire Engine Red
Forest Green
Slime Green Midnight Purple Magenta
Royal Blue
Atlantic Blue
Gun Smoke Silver
Matte Grey Matte Purple
Matte Blue
Matte Red
Matte Black
Holographic Black (iridescent flakes)
$ std
(Custom Polished)
Polished Alum. Frame Only
$ 800
Upholstery Choice & Color
Standard Adjustable Ht. Black
K0108 Adjustable Tension Backrest
Custom Colored (for std. or adjust. style)
Fabrics for FUN (for std. or adjust. style)
Backrest Leather Trim (outside panels)
Black
Black
Red Blue
001 002 003 004 010 011 014
015 016 017 018 019 020 021
022 023 024 025 026 027 028
RazorBack (Carbon Backrest) Tl-Style 16” fixed (13-18 wide)
ls-Style 10” fixed (13-19 wide)
Adj. Model (add $150)
Adj. Model (add $150)
May not fit and function on all chairs depending on wheelchair configuration.
Section C Total
$ std
$ 135
$ 60
$
$
95
77
$ 700
$ 600
$________
Valid From Jan ‘09. Prices & Specifications Are Subject To Change Without Notice.
Colours in Motion warrants all rigid hardware for the
lifetime of its registered owner. (Please see warranty
registration card for details.)
E X T R A
O P T I O N S
F O R
A L L
M O D E L S
Tire and Caster Options (installed on new chair ordered)
Colored Tires High Pressure (pr)
24” 25”
1.0 Wide Caster Wheels Alum. Hub (pr)
3”
1.5 Wide Caster Wheels Alum. Hub (pr)
4”
1.5 Wide Caster Wheels Composite Hub (pr) 4”
26”
Red
Blue
Yellow
4” 5” Black Hub Silver Hub
5” Black Red Blue Yellow
5” Black Red Blue Yellow
$ 65
$ 160
$ 160
$ 120
Other (installed on new chair ordered)
Bicycle Plates with extra pair of axle receivers for Spazz, Blade, Chump and Zephyr
$
Wheelchair Tray (size avail.) 11” x 13” 13” x 15” 13” x 17” Raw Black Polish Alum.(Add $250) $
Ski Tips on Caster Forks
$
AZ-1 Portable Hand Controls
$
Anti Skid bar for rear of
Boing!
Spazz
Krypto
(not available w/anti-tippers)
$
Basketball Roller
$
One Arm Drive Custom Wheelchair (Zephyr, Spazz, Blade, Hammer, Chump)
$
Heavy Duty Wheelchair for 300 or 350 lbs. (Spazz, Avenger, Eclipse)
$
Tie Down Brackets 4pcs.
Spazz, Chump, Spazz-G, Chump-G (Have been crash tested wc-19)
$
Custom Paint Scheme (installed on new chair ordered)
Polish All Parts excluding the frame
Powder Coat bolt on parts
24 karat gold plating on various parts
250
250
275
349
99
62
CFP
CFP
210
Everything should be as simple as it is, But not simpler.
Albert Einstein
D
$ CFP
$ CFP
$ CFP
Matching Gear (provide extras - installed on chair)
Matching Fabric on Leg Strap - select fabric _________________
$ 55
Matching Fabric on Padded Side Guards - select fabric _________________
$ 210
Cushion Cover (Std. Cushion Only) - select fabric____________ Width ____ Depth ____ Thickness____ $ 90
Spare Parts (provide extras - not installed on chair)
Colored Tires (pr)
24” 25” 26”
Red
Blue
Yellow
Marathon Schwalbe Tires (pr) 24” 25”
Black
Knobby Tires/Tubes (pr)
24 x 1.375 mod. tread (Gray)
24x2.0 aggr. tread (Gray with Blue or Red Wall)
25x1.95 aggr. tread (All Black)
High Pressure Tubes (pr)
24” 25” 26” 27” $
Bearings Rear Wheels or Caster Housing (set of 4)
Bearings for Caster Wheels (set of 4)
Quick Release Big Button Rear Axles (pr.) 4.5” 5.5”
K0108 Quad Wheel Quick Release
Flip Up
K0065 Spoke Protectors
24" 25" 26" Black
$
$
65
80
$
12
$
$
$
$
$
120
12
10
60
99
107
$
$
$
$
$
30
30
24
20
55
Women S/S Tee S M L XL 2XL
Black White Light Blue
Mens S/S Tee
S M L XL 2XL
Black White Gray
Caps Flex Fit
S/M L/XL
Black
Gray
Beanies
one size fits all
Black
Gray
Pillows with insert 14” x 14”
Blk Flame Camo Girls Corazones High Speed
Gear (provide extras - not installed on chair)
Grab Bar Protector Removable (3/4” backrest tubing)
Wheel Bag
24” 25” 26” 27”
Colours Backpack (one size only)
Black w/red logo Black w/blue logo
Positioning strap
Velcro one end Velcro both ends________Length
Ratchet Strap
small medium large
$ 35
$ 350
$ 55
$ 85
$ 125
Wheelchair Fingerless Gloves (pr.)
Sport Grip Exec. Style Smooth Style
S M L
$
Section D Total
29
$________
CFP = Call For Price
May not fit and function on all chairs depending on wheelchair configuration.
Valid From Jan ‘ 09. Prices & Specifications Are Subject To Change Without Notice.
Colours in Motion warrants all rigid hardware for the
lifetime of its registered owner. (Please see warranty
registration card for details.)
Merchandise (provide extras - not installed on chair)
C O L O R S &
F A B R I C S ORDER FORM
860 E. Parkridge Avenue, Corona, CA 92879
Tel: 951-808-9131 Fax: 951-808-9949
Toll Free: 800-892-8998 www.colourswheelchair.com
Valid From Jan ‘09. Prices & Specifications Are Subject To Change Without Notice.
A
2 1 0 2
2 1 0 6
2 1 0 9
2 1 1 0
2 1 1 1
2 1 1 2
gloss black
candy blue
white
yellow
metallic gray
candy red
twilight flakeglitter flakes
2 1 3 0
2 1 4 1
2 1 0 5
2 1 0 4
2 1 0 1
candy purple
candy green
fuschia
fire engine red
forest green
midnight blue
2 1 4 0
slime green
2 1 0 8
2 1 3 1
2 1 3 2
2 1 3 3
2 1 3 4
2 1 3 8
6 0 0 0
midnight purple
magenta
royal blue
atlantic blue
blue-green
gun smoke silver
ball burnish
polish alum.
2 1 5 0
2 1 5 1
2 1 5 2
2 1 5 3
2 1 5 4
2 1 5 5
matte gray
matte purple
matte blue
matte green
matte red
matte black
B
2 1 1 3
2 1 0 0
C O L O R S
F A B R I C S
F - 0 0 1
F - 0 0 2
F - 0 0 3
F - 0 0 4
F - 0 1 0
F - 0 1 1
Black Flames
Camouflage Girls
Claws
Corazones
High Speed
Skulls On Fire
F - 0 1 5
F - 0 1 6
F - 0 1 8
F - 0 1 7
F - 0 1 9
F - 0 2 0
F - 0 2 1
Flame Rider
Girls On Fire
Vegas
Dragon Tattoo
Islander
Wild Thing
Bloom
F - 0 1 4
Skate Line
F - 0 2 2
F - 0 2 3
F - 0 2 4
F - 0 2 5
F - 0 2 6
F - 0 2 7
F - 0 2 8
Curve Ball
Pink Lily
Pulling G’s
Ruff Rider
Little Scouts
Virgin Mary
Lady In Red