This form is designed to be filled out using Adobe Acrobat. 5720 Arville St. Suite 105 • Las Vegas, Nevada • Ph: 907-529-8833 • Fax: 702-754-0889 BT- Beach Order Form Update- 319 Shipping Information Shipping Phone: Shipping Notes: Frame Style Lasher Sport BT-Beach Dedicated beach wheelchair Frame Dimensions Seat Width See Diagram below. Measure from outside of seat tube to outside of opposite seat tube. Seat Depth See Diagram below. Measure from front of backrest post to front edge of seat sling. Front Seat Height See Diagram below. Rear Seat Height See Diagram below. Measure from floor to top of front seat rail. Measure from floor to top of back seat rail.

Frame Dimensions Continued Front End Angle See Diagram below. Measure the angle from the floor to the down tube. 95° Wheel Camber See Diagram below. Wheel Camber is set at 2° Rear Axle Center of Gravity See Diagram below. Measure from front of backrest post to center of axle. 1.0” (2.5cm) 1.5” (3.8cm) 2.0” (5.0cm) 2.5” (6.4cm) 3.0” (7.6cm) 3.5” (8.9cm) 4.0” (10.2cm) 4.5” (11.4cm) Rear Wheel Offset See Diagram below. Measure from outside of backrest post to inside of tire. Footrest Width See Diagram below. Measure from inside of footrest post to inside of opposite footrest post. Footrest Height...

Chair Options and Accessories Footrest Style Open Loop Tube- No Charge Open Loop Double Tube- Option- $125 Front Casters & Forks 9.5” (24cm) diameter x 5” (12.7cm) wide, low psi, beach casters with Lasher Sport forks Rear Wheels & Tires 26” (559) x 100mm rims, custom built at the Lasher Sport shop with fat tires with low tire pressure for superior sand flotation. Fat Tire- 3.8” (9.7 cm) * Standard width Hand Rims * Extra flotation across sand, but increases overall width significantly. * All hand rims are 26” (590) size size Hard Anodized- No Charge Natural Fit Q-Grip- Option- $295 * Neoprene...

Chair Options and Accessories- continued Wheel Locks Omit Wheel Locks— No Charge Side Guards Compact Composite scissor locks— $295 * Side guards will be finished with the same finish and color as the main frame. Aluminum, quick release— $545 Backrest Style Fixed (welded), non-folding— No Charge Seat Upholstery Sling Style— No Charge * Waterproof mesh fabric Tension Cord— $225 * Tension adjustable,waterproof laminate Seat Cushion None— No Charge Basic Foam— $165 * Not water proof and can absorb water. Supracor Stimulite Silver— $325 * Won’t absorb water. Easier to clean. Back Upholstery Sling...

Frame Finish- Color Options Powder Coat Finish— No Charge * Powder coat is a baked on finish. * Colors and shades can look different than the samples below. Anodized Finish— $1295 * Anodizing is a more corrosion resistant finish than powder coat. * Colors and shades can look different than the samples below. Gloss White Sunshine Yellow Silver (clear) Heritage Cream Honda Yellow Soft Pink Satin Titanium Neon Yellow Heavy Silver Energy Green Galaxy Silver Racer Green Mega Grey Tractor Green Gloss Black Signal Green Royal Maroon Army Green Yellow Orange Tropical Breeze Miami Teal Light Green Sweet...