GT Order Form - Quickie-Wheelchairs.com

6. Key Options & Accessories (Cont)ooooooooooooooooooo145C2BlackFrame Color145C10 Black Opal NC145C38 o Blue Opal NC145C36 o Candy Blue NC145C14 o Candy Purple NC145C35 o Candy Red NC145C128 o Copper NC145C6 o Forest Green NC145C127 Fuchsia NC145C126 Glow NC145C116 Matte Black NC145C117 Matte Green NC145C4 Midnight Purple NC145C5 Pearl Pink NC145C103 Rootbeer NC145C114 Sparkle Silver NC145C113 Titanium Color Paint NC145C11 Toxic Green NC145C8 Yellow NCNC145EB06145EB05Green $135.00145EB04 Purple $135.00145EB03Anodized Color PackageCamber tubes are titanium grey except for the black option. Frog Legs blackonly. Black only w/ amputee, Xtender, suspension axle plates.145EB02 Black NCBlue $135.00Red $135.00145EB01 Ti Grey $135.00oooCustom Frame Color145C112 Desert Camouflage $295.00145C43Mossy Oak Camouflage $295.00145C42Stars & Stripes $295.00o145C108Zebra (Choose above base color) Stdwith White unless above base paint ischosen NA w/ Black$295.00ORDERING INFORMATION PHONE: (800) 236-4215, FAX: (602) 279-0952, WEBSITE: www.southwestmedical.comPage 6