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 ATH-FS 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 ATH-FS - All Terrain Handcycle H00FS1 $14,995 * A 50% deposit is required at time of order. The Balance is due when the handcycle is ready to ship. Three wheel independent suspension, 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 * Components below may be substituted for equal or greater value components depending on availability. Chain- KMC 12 speed Headset- Cane Creek 40 Click Strap Seat Belt Front Wheel Shock- Fox Float DPS Performance Seat Cushion - Contoured Foam Rear Wheel Shocks- Fox Float DPS Performance *Sandardhandcycleincludes backrestcushion Front Wheel Brake- TRP Quadiem Rear Brakes- TEKTRO Auriga Twin+ Groupset * Components below may be substituted for equal or greater value components depending on availability. | | Shimano SLX 12 Speed Group Set - $0 Shifter - Shimano SLX 12 Spd Derailuer- Shimano...

Crash and Damage Policy In the event of a crash or incidental damage, please refer to the owner’s manual. Weight- base model set up- Height with 27.5” (69.9cm) plus wheels = 30” (76.2cm) overall height Weight- w/ e-motor and plus size 27.5” wheel set- 86 pounds (39kg) ' Graphics are representation of actual model. with 27.5” (69.9cm) rear wheels is 33” (83.8cm) with 29” (73.7cm) rear wheels is 34” (86.4cm)

Frame Finish- Color Options 'Powder coat is a baked on finish. *Colors and shades can look different than the samples below. Black Jack (Flat) 1-1 USS-1522 \ International Orange _I Army Green (Flatl^fl Flat Mayham Blue PSB-10025 Ford Dark Blue PSB-4624 Miami Teal I Lazer Polka Pink "1 Illusion Copper Plu^H 1-1 PMB-5043 Illusion Sour Apple PMB-6913 Ultra Illusion Green, PMB-5346 □ Illusion Tropical Fusio£|F PMB-6919 fSmr