This form is designed to be filled out using Adobe Acrobat. E-Mail completed form to [email protected] 5720 Arville St. Suite 105 Las Vegas, Nevada 89118 ARC Order Form Date: Shipping Information Shipping Phone: Shipping Notes: E-mail: Price Quote Only I’d Like to Place an Order Frame Style Lasher Sport ARC - All Road Handcycle * A 50% deposit is required at time of order. The Balance is due when the handcycle is ready to ship. Three wheel rigid frame handcycle, recumbent style. * Max rider weight 250 pounds (113 kg) Frame Dimensions Seat Width / Rear Wheel Width Seat Depth Seat Width is measured from inside of seat rails. Measure from front of backrest post to front edge of seat sling. Seat Width- 16” (40.6cm), Rear Wheel Width- 33.75” (85.7cm) Back Height Backrest Angle Measured from seat base to top of backrest. Angle measured from floor plane to back plane. Footrest Style Upholstery Seat: Tension Strap Back: Tension Strap with 1.25” (3.2cm) foam padding Adjustable with padded ankle slings and Velcro ankle restraints. Crank Arms Width by crank extenders- Standard H02CAE Lasher Sport CNC Machined ‘Bull Horn’- $695 H02CABH * Anodized Black. Crank Handles Lasher Sport Ergo Max Grips, Standard H03CHE Quad Grips, Optional- +$795 H03CHQ

" Components below may be substituted for equal or greater value components depending on availability. Headset- Cane Creek 40 Front Wheel Brake- TEKTRO Click Strap Seat Belt Seat Cushion - Contoured Foam * Standard handcycle includes back rest cushion Shift Lever(s)- Shimano SLX 12-speed shifter (1x12) Cassette- 11-51T Derailleur- Shimano SLX Chain- 12 speed | | Basic wheel with 6 bolt disc- Standard (fork compatible with 26", 27.5", and 29er wheel sizes. Not compatible with plus and fat tire sizes. Fork and Tire Size * Fork and Tire Size selection must be compatible with Wheel Set selection...

Frame Finish- Color Options 'Powder coat is a baked on finish. *Colors and shades can look different than the samples below. Gloss White Creamy Almond Honda Yellow Satin Titanium Galaxy Silver Forged Charcoal Neon Yellow Kiwi Green Racer Green Tractor Green Black Jack (Flat) 1-1 USS-1522 Gloss Black Royal Maroon \ International Orange Harley Orange _I Army Green (Flat)^fl Flat Mayham Blue PSB-10025 Ford Dark Blue PSB-4624 Miami Teal I Lazer Polka Pink Mega Grey Cadillac Grey Shattered Glass Illusion Cherry Illusion Orange Golden Glitter ""I Illusion Sour Apple a Ultra Illusion Green, □ Illusion...