USREACHOF-2018-02 REAH™ U.S. Order Form

1 USREACHOF-2018-02 . REACH Order Form February 2018. Leggero Customer Service: 1-844-503-5437. Email: 8am - 5pm central time Monday-Friday Date: o QUOTE o Order - PO#. Account: Ship To: Contact Name: Attention: ATP Name: Address: Billing Address: City: ST: ZIP: City: ST: ZIP: Phone: Fax: Email: Mark For: MEASUREMENT WORKSHEET. REACH INCLUDES: A. Seat Depth Transit Option B. Trunk Depth Fixed Seat Tilt 10 , 20 , 30 C. Trunk Width Model Hip Angle Adjustment shown with D. Hip Width accessories. QR 12 Poly Rear Wheels E. Seat to Top of Shoulder 7 Poly Front Casters F. Lower Leg Length Height Adjustable Push Handle G.

2 Seat to Axilla Height Adjustable Foot Plate Foot Activated Hub Lock Under Seat Storage Bag Sunshade Specifications & Adjustability REACH 12 REACH 14 REACH 16. Max Occupant Weight 80 lbs/36 kg 110 lbs/50 kg 150 lbs/68 kg Seat Width 8-12 in/20-30 cm 10-14 in/25-35 cm 12-16 in/30-40 cm Seat Depth 8-13 in/20-33 cm 11-16 in/28-40 cm 13-18 in/33-46 cm Back Height 11-18 in/28-46 cm 13-21 in/33-53 cm 16-24 in/40-61 cm Age: Seat to Footplate 8-13 in/20-33 cm 11-16 in/28-40 cm 13-18 in/33-46 cm Height: Weight: Seat to Floor in/50 cm in/50 cm in/50 cm Fixed Tilt Positions 10, 20, or 30.

3 Seat to Back Angle (Range depends on seat angle). 10 seat angle 85, 90, 95, 100, 105, 110, 115 . 20 seat angle 85, 90, 95, 100, 105 . 30 seat angle 85, 90, 95 . Weight of Chair 27 lbs/12 kg 29 lbs/13 kg 31 lbs/14 kg Chair Width in/55cm in/60 cm in/65 cm Folded Dimensions 31 x x 18 in 31 x x 18 in 33 x x 18 in 79 x 55 x 46 cm 79 x 60 x 46 cm 84 x 65 x 46 cm Customer Service: 1-844-503-5437 | Fax: 1-406-551-9370 | Email: Prices and specifications are subject to change without notice. 2018 Leggero LLC. Page 1 of 4. USREACHOF-2018-02 . REACH Chair REACH Upholstery Color o 3004-1001 E1238 REACH 12 - 12 cm width $2, o 101 BIG SKY BLUE - Blue/Black N/C.

4 O 3004-1002 E1238 REACH 14 - 14 cm width $2, o 102 ROSSO RED - Red/Black N/C. o 3004-1003 E1238 REACH 16 - 16 cm width $2, o 103 ICE SILVER - Silver/Black N/C. o 104 SNOWBERRY PINK - Pink/Black N/C. Upholstery Color applies to back and seat cushions, sunshade Transit Option & Transit Harness Selection Transit Option Transit Belt or Harness Requires belt/harness, 3005-4001, 3005-4002, or 3005-4003 back rest and a head rest. Select One 3004-7001 Transit Option (RESNA WC-19) N/C o 3004-7002 Transit 5 Point Harness for 12/14 N/C. This option is not retrofittable. o Add pad set for 5-point harness (3002-7022) $ o 3004-7023 Transit Sure-Lok Lap Belt for 12/14 -$ o 3004-7024 Transit Sure-Lok Lap Belt for 16 -$ Select 5-PT Harness for occupants less than 50 Select Sure-Lok Lap Belt for occupants over 50 The transit option includes 4 installed transportation anchors & has been tested in compliance with WC-19 standards.

5 For more information on RESNA WC-19 please visit Seat Cushion & Lateral Pelvic Thigh Supports A seat cushion selection is required. LT Seat Cushion LT Lateral/Pelvic Thigh Supports o 3005-3001 E2292 REACH 12 Planar Seat Cushion $ o 3005-6010 E0956 LEFT, Width/Depth/Angle Adj. $ o 3005-3002 E2292 REACH 14 Planar Seat Cushion $ o 3005-6011 E0956 RIGHT, Width/Depth/Angle Adj. $ o 3005-3003 E2292 REACH 16 Planar Seat Cushion $ o 3001-7011 K0108 Lumbar EVA & 4 EVA Wedges $ o 3002-7099 Omit Seat Cushion N/C. Armrests & Positioning Tray o 3004-6009 E0973 Height/Angle Adj. Armrests $ o 3004-6007 E0950 Clear Positioning Tray Platform $ o 3004-6008 E1028 Tray Hardware, $ 3004-6009 Armrests & 3004-6008 Hardware are required when ordering Tray Platform Stealth Products Anterior Posture Supports & Pelvic Positioning Stealth i-FIT 4-Point Pelvic Positioning Belts Stealth i-FIT Anterior Posture Supports Not compatible with LT Anterior Trunk Supports on page 3.

6 O IFPB5141 E0978 Push Button 1", XS Pads $ o IFPS1101-02 E0960 Classic, Dynamic, XS $ o IFPB5242 E0978 Push Button ", SM Pads $ o IFPS1102-02 E0960 Classic, Dynamic, S $ o IFPB5243 E0978 Push Button ", M Pads $ o IFPS1103-02 E0960 Classic Dynamic, M $ o IFPS1201-02 E0960 Classic, Structured, XS $ Abductor/Medial Knee Block o IFPS1202-02 E0960 Classic, Structured, S $ Must select hardware & one size of abductor pad. Wedge sizes are width x depth x height. o IFPS1203-02 E0960 Classic, Structured, M $ o MTHW-610-04 E1028 Removable Flip Down Hdw. $ o IFPS2101-02 E0960 Contoured, Dynamic, XS $ o MTMD-12 E0957 Small Wedge Pad (3x5x3") $ o IFPS2102-02 E0960 Contoured, Dynamic, S $ o MTMD-13 E0957 Medium Wedge Pad (5x5x3") $ o IFPS2103-02 E0960 Contoured, Dynamic, M $ o IFPS2201-02 E0960 Contoured, Structured, XS $ Posture Support Strap Risers o IFPS2202-02 E0960 Contoured, Structured, S $ o IFPS2203-02 E0960 Contoured, Structured, M $ o 3001-6011 K0108 Strap Risers, Pair $ Please continue on next page.

7 Customer Service: 1-844-503-5437 | Fax: 1-406-551-9370 | Email: Prices and specifications are subject to change without notice. 2018 Leggero LLC. Page 2 of 4. USREACHOF-2018-02 . Back Rest & Accessories Select a system from options A, B, or C . Then continue your selections to the right to complete the package. A. Reach Planar Back Compatible with i-FIT Anterior Posture Supports o 3005-4004 E2291 REACH 12 Planar Back $ o 3005-4005 E2291 REACH 14 Planar Back $ o 3005-4006 E2291 REACH 16 Planar Back $ o 3003-4099 Omit Back N/C. When omitting back, crossbars between canes will remain in place.

8 B. LT Contoured Back LT Anterior Trunk Support (Only available with B). Compatible with LT Anterior Trunk Supports or i-FIT Anterior Posture Supports o 3005-4001 E2293 REACH 12 Contoured Adj. Back $ o 3005-6005 E0960 Small LT Anterior Trunk Support $ o 3005-4002 E2293 REACH 14 Contoured Adj. Back $ o 3005-6006 E0960 Medium LT Anterior Trunk Support $ o 3005-4003 E2293 REACH 16 Contoured Adj. Back $ o 3005-6007 E0960 Large LT Anterior Trunk Support $ LT Anterior Trunk Support includes lateral pads integrated with back Not compatible with Stealth Anterior Posture Supports on page 3.

9 LT Adjustable Lumbar Support (Only available with B). o 3005-6002 K0108 REACH 12 Adj. Lumbar Support $ o 3005-6003 K0108 REACH 14 Adj. Lumbar Support $ o 3005-6004 K0108 REACH 16 Adj. Lumbar Support $ C. REACH RCB Rigid Contoured Back with Cushion Swing Away Lateral Hardware & Pads (Only available with C). Compatible with Leggero Swing In/Out Laterals and i-FIT Anterior Posture Supports Must select hardware & pad. Leggero Swing In/Out Lateral includes rail and track slider. Compatible with Stealth Head Positioning; Not compatible with Leggero Head Positioning o 3004-6111 E1028 LEFT, Leggero Swing In/Out Lateral $ REACH RCB 12 Contoured Back Options (includes hardware, plate, and cushion) o 3004-6112 E1028 RIGHT, Leggero Swing In/Out Lateral $ o 3004-4212 E2293 12" W x 12" H (Adj.)

10 12-14") $ L R 3004-6035 E0956 Lateral Pad 3x5", Each $ o 3004-4214 E2293 12" W x 14" H (Adj. 14-16") $ L R 3004-6045 E0956 Lateral Pad 4x5", Each $ o 3004-4216 E2293 12" W x 16" H (Adj. 16-18") $ L R 3004-6046 E0956 Lateral Pad 4x6", Each $ o 3004-4218 E2293 12" W x 18" H (Fixed Height) $ REACH RCB 14 Contoured Back Options (includes hardware, plate, and cushion). o 3004-4414 E2293 14" W x 14" H (Adj. 14-16") $ o 3004-4416 E2293 14" W x 16" H (Adj. 16-18") $ o 3004-4418 E2293 14" W x 18" H (Adj. 18-20") $ o 3004-4420 E2293 14" W x 20" H (Adj. 20-21") $ REACH RCB 16 Contoured Back Options (includes hardware, plate, and cushion).