Creative Mobility Division
Please Email or Fax this page with the Order Form
to TiLite Customer Service, orders@tilite.com or
866.586.2413 or +1 509.586.2413
2701 West Court St, Pasco Wa, 99301
P: +1 509.586.6117 800.545.2266
F: +1 509.586.2413 866.586.2413
I NOTE: Permobil’s warranty does not cover Creative Mobility
Division frames and frame components, unless Permobil determines
that the frame or frame component was defectively manufactured.
Dealer Name:
Account Nmber:
EZ-Ti ID:
Customer Name:
PO Number:
Special Instructions
TWO PIECE FLIP-UP FOOTPLATES
CMD Number: 40
Available On: TiLite TR, TiLite TRA, TiLite ZR, TiLite ZRA,
TiLite Aero T, TiLite Aero Z
Requirements:
Only available on Rigid Frames.
Extra rigidizer bar is required.
Notes:
Rigidizer Bar dimensions are different for T-series
and Z-series chairs.
Aero Z footrests will be clamped to front of frame.
Not available with V-front end.
May not work with all chair congurations.
Footrest Type (Select one):
❑ Standard Flip-up
❑ Angle Adjustable Flip-up
❑ Depth Adjustable Flip-up
❑ Depth and Angle Adjustable Flip-up
Rigidizer Bar placement dimensions for T-chairs:
Depth: _________
Rigidizer Bar placement dimensions for Z-chairs:
Depth: _________
Height: _________
Angle: _________
REV_A
T-Chairs
Depth Depth
Height
Angle
Z-Chairs
