Creative
Mobility
Division
Manual Wheelchairs
2701 West Court St, Pasco Wa, 99301
P: +1 509.586.6117 800.545.2266
F: +1 509.586.2413 866.586.2413
Creative Mobility Division
Table of contents:
Click desired section
Accessory Options
Frame Modifications
Footrest Options
Backrest Options
Sideguards and Armrests
Seating and Upholstery
Push Handle Options
Finish Options
Full Chair Options
Wheel and Tire Options
Creative Mobility Division
Accessory
Options
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
TITANIUM WELDED ON CALF STRAP
LOOPS
CMD Number: 34
Available On: TiLite TR, TiLite TRA, TiLite ZR, TiLite ZRA
Requirements:
Only available on Titanium frames.
Notes:
May not work with all chair congurations.
REV_A
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
CASTER PIN LOCKS
CMD Number: 46
Available On: TiLite TR, TiLite TRA, TiLite ZR, TiLite ZRA,
TiLite Aero T, TiLite Aero Z, TiLite Aero X, TiLite 2GX
Requirements:
Available with standard fork style.
Available on all chairs except Twist.
Not available with titanium fork stems.
Notes:
May not work with all chair congurations.
REV_A
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
TITANIUM SINGLE SWIVEL
CASTER ANTI-TIP
CMD Number: 69
Available On: TiLite ZRA, TiLite Aero Z, TiLite TRA, TiLite
Aero T
Requirements:
Notes:
Wheel to oor dimension +/- 1/4” _________
REV_A
Creative Mobility Division
Frame
Modifications
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
UNIQUE CROSSTUBE DEPTH
CMD Number: 5
Available On: TiLite TR, TiLite TRA, TiLite Aero T, TiLite
ZR, TiLite ZRA, TiLite Aero Z
Requirements:
Seat pan required for cross tubes with depths of 1” or less.
Notes:
May not work with all chair congurations.
Depth: _________
Depth
REV_A
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
UNIQUE HANGER FRONT ANGLE
CMD Number: 6
Available On: TiLite Aero X, TiLite 2GX
Requirements:
Notes:
Angle must be between 45° and 90°.
Please round to the nearest whole
degree.
Higher angles may cause clearance
problems with some caster combinations.
May not work with all chair congurations.
Angle: _________
REV_A
Angle
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
ADAPTED SEAT DEPTH FOR
RIGID CHAIRS
CMD Number: 10
Available On: TiLite TR, TiLite TRA, TiLite ZR, TiLite ZRA,
TiLite Aero T, TiLite Aero Z
Requirements:
Only available on rigid frames.
Notes:
Please round desired seat depth to the nearest 1/2”.
May not work with all chair congurations.
Seat Depth: _________
REV_A
Seat Depth
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
ADAPTED SEAT WIDTH
CMD Number: 11
Available On: TiLite TR, TiLite TRA, TiLite Aero T, TiLite
ZR, TiLite ZRA, TiLite Aero Z
Requirements:
Only available for rigid frames.
Seat width of 10” or greater.
22” max seat width.
Seat widths greater than 20” must have two cross tubes.
Non-standard seat width must be written in 1/4”
increments.
Notes:
May not work with all chair congurations.
Seat Width: _________
REV_A
A
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
ADAPTED FRONT ANGLE
CMD Number: 14
Available On: TiLite TR, TiLite TRA, TiLite ZR, TiLite ZRA,
TiLite Aero T, TiLite Aero Z
Requirements:
Only available for rigid frames.
Notes:
Angles close to 90° may cause interference with
some caster options.
Angle must be between 60° and 90°.
Please round to nearest whole degree.
May not work with all chair congurations.
Angle: _________
REV_A
Angle
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
ADAPTED CASTER PLACEMENT
CMD Number: 62
Available On: TiLite TR, TiLite TRA, TiLite ZR, TiLite ZRA,
TiLite Aero T, TiLite Aero Z
Requirements:
Available on rigid chairs only.
Notes:
May not work with all chair congurations.
Caster Width: _________
Wheelbase: _________
REV_A
Wheelbase Caster Width
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
FULL SIZED QUOTE DRAWING
CMD Number: 65
Available On: TiLite TR, TiLite TRA, TiLite ZR, TiLite
ZRA, TiLite Aero T, TiLite Aero Z
Requirements:
Notes:
REV_A
16.3
80.0°
16.7
18.5
15.5
16.0
3.0
23.8
0.375 INCHES
10.5
16.0
2.0°
3" CASTER
25" PRIMO
16.8
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
FRONT FRAME RIGIDIZER BAR
CMD Number: 70
Available On: TiLite TR, TiLite TRA, TiLite ZR, TiLite ZRA,
TiLite Aero T, TiLite Aero Z.
Requirements:
Only available for Rigid frames.
Notes:
Dimensions vary for T-series frames versus Z-series
frames.
May not work with all chair congurations.
Rigidizer Bar placement dimensions for T-chairs:
Depth: _________
Rigidizer Bar placement dimensions for Z-chairs:
Depth: _________
Height: _________
Angle: _________
REV_A
Height
Angle
Depth
Depth
Z-series T-series
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
ADAPTED SEAT DEPTH
COMBINATIONS
CMD Number: 76
Available On: TiLite Twist
Requirements:
Notes:
REV_A
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
ADAPTED FRAME DEPTH
CMD Number: 54
Available On: TiLite TR, TiLite TRA, TiLite ZR, TiLite
ZRA, TiLite Aero T, TiLite Aero Z
Requirements:
Frame depths greater than 3” or less than 0”.
Notes:
Allowed in ¼” increments.
Stability requirements may negate the availability of this
option.
May not work with all chair congurations.
Depth: _________
Depth
Creative Mobility Division
Footrest
Options
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
ALUMINUM ANGLE ADJUSTABLE
FOOTPLATE
CMD Number: 4
Available On: TiLite TR, TiLite TRA, TiLite Aero T, TiLite
ZR, TiLite ZRA, TiLite Aero Z, TiLite Twist
Requirements:
Footplates that are 10” or deeper will require a strap to
support the rear of the footplate.
Footplate slots are optional and will be included upon
customer request.
Notes:
May not work with all chair congurations.
Width: _________
Depth: _________
Width
REV_A
Depth
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
ADAPTED FOOTREST WIDTH
CMD Number: 8
Available On: TiLite TR, TiLite TRA, TiLite ZR, TiLite ZRA,
TiLite Aero T, TiLite Aero Z
Requirements:
Only available on Rigid Frames.
Notes:
Please round desired width to nearest 1/2”.
Footrest width must be at least 2” narrower than seat width
on T series chairs, and 2 1/2” narrower than seat width on
Z series chairs.
May not work with all chair congurations.
Footrest Width: _________
REV_A
Footrest Width
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
UNIQUE CONFIGURED
FOOTREST LOOP
CMD Number: 21
Available On: TiLite TR, TiLite TRA,TiLite ZR, TiLite ZRA,
TiLite Aero T, TiLite Aero Z
Requirements:
Only available on Rigid Frames.
Notes:
Optional ABS cover.
Angle Adjustable option is not compatible.
May not work with all chair congurations.
Width: _________
Depth: _________
REV_A
Width
Depth
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
DUAL LOOP FOOTREST
CMD Number: 22
Available On: TiLite TR, TiLite TRA, TiLite Aero T, TiLite
ZR, TiLite ZRA, TiLite Aero Z
Requirements:
Not available with angle-adjustable footplate.
Available on rigid chairs only.
Notes:
Titanium footloop comes with at ABS cover.
Second loop is welded to front footrest tube.
May not work with all chair congurations.
Length in front of footrest: _________
Length behind footrest: _________
REV_A
Front of footrest
Behind footrest
In front of footrest
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
COVERED FOAM PAD ON FOOTREST
CMD Number: 25
Available On: TiLite TR, TiLite TRA, TiLite Aero T, TiLite
ZR, TiLite ZRA, TiLite Aero Z
Requirements:
Only available on Rigid chairs.
Only available for Titanium w/ Flat ABS Cover or Angle
Adjustable Footrests.
Notes:
Option of 1” or 2” Foam Pad.
Foam Pad is covered with Ballistic Nylon.
May not work with all chair congurations.
Foam Pad Size: 1” or 2”
REV_A
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
FORWARD MOUNTED FOOTPLATE
CMD Number: 30
Available On: TiLite TR, TiLite TRA, TiLite ZR, TiLite ZRA,
TiLite Aero T, TiLite Aero Z
Requirements:
Available on rigid chairs only.
Notes:
Can be Angle Adjustable (no charge), Titanium w/ Flat ABS
cover, or Titanium Open Loop.
Depth Dimension not available on angle adjustable
footplates.
May not work with all chair congurations.
Footplate Depth: _________
REV_A
Footplate Depth
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
NO FOOTPLATES
CMD Number: 32
Available On: TiLite TR, TiLite TRA, TiLite Aero T
Requirements:
Only available for T-series chairs.
Notes:
Front Frame Rigidizer Bar is required.
May not work with all chair congurations.
Rigid Bar Depth: _________
(measure from front of seat sling)
REV_A
Rigid Bar Depth
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
ONE PIECE FLIP-UP FOOTPLATE
CMD Number: 35
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.
Angle Adjustable footplate only.
Notes:
Rigidizer Bar dimensions are different for T-series
and Z-series chairs.
Option to pivot on left or right side of chair.
May not work with all chair congurations.
Flip-up footplate pivot on
Right or Left
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
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 congurations.
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
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
UNIQUE SIZED FOOTREST RISERS
CMD Number: 42
Available On: TiLite TR, TiLite TRA, TiLite ZR, TiLite ZRA,
TiLite Aero T, TiLite Aero Z
Requirements:
Only available on Rigid Frames.
Only available with Angle Adjustable footplate.
Notes:
Maximum footrest riser height is 5”.
May not work with all chair congurations.
Riser Height: 1” or 3”
REV_A
Riser Height
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
2” SIDED ABS FOOTREST COVER
CMD Number: 49
Available On: TiLite TR, TiLite TRA, TiLite ZR, TiLite
ZRA, TiLite Aero T, TiLite Aero Z, TiLite Twist
Requirements:
Footrest shapes may vary for caster swivel clearance.
The overall width of the footrest will be as wide as possible
per each chair’s conguration unless otherwise indicated or
if caster swivel needs to be compensated for.
Notes:
May not work with all chair congurations.
ABS Sided Cover Dimensions:
Depth: _________
Width: _________
REV_A
Width
Depth
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
ADAPTED SHAPED ABS FOOTREST
CMD Number: 50
Available On: TiLite TR, TiLite TRA, TiLite ZR, TiLite ZRA,
TiLite Aero T, TiLite Aero Z
Requirements:
Available on rigid chairs only.
Titanium open loop footrest is required.
Notes:
Available adaptations include, but are not limited to depth
and width.
Contact customer service for additional variations.
May not work with all chair congurations.
ABS Footrest Dimensions:
Depth: _________
Width: _________
REV_A
Width
Depth
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
TITANIUM ANGLE ADJUSTABLE
FOOTREST EXTENSIONS
CMD Number: 55
Available On: TiLite TR, TiLite TRA, TiLite ZR, TiLite ZRA,
TiLite Aero Z, TiLite Aero T, TiLite TWIST
Requirements:
Notes:
May not work with all chair congurations.
REV_A
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
TUBULAR FLIP-UP FOOTPLATES
CMD Number: 61
Available On: TiLite TR, TiLite TRA, TiLite ZR, TiLite ZRA,
TiLite Aero T, TiLite Aero Z, TiLite Aero X, TiLite 2GX
Requirements:
Rigid frames require extra rigidizer bar (see Catalog Item
70).
Notes:
Not available with V-front end.
May not work with all chair congurations.
REV_A
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
SQUARED OFF TITANIUM FOOTREST
CMD Number: 71
Available On: TiLite TR, TiLite TRA, TiLite ZR, TiLite ZRA,
TiLite Aero Z, TiLite Aero T.
Requirements:
Notes:
May not work with all chair congurations.
REV_A
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
ADAPTED FOOTREST HEIGHT
ADJUSTMENT
CMD Number: 72
Available On: TiLite TR, TiLite TRA, TiLite ZR, TiLite ZRA,
TiLite Aero T, TiLite Aero Z
Requirements:
Available on rigid chairs only.
Notes:
May not work with all chair congurations.
Seat to footrest: _________
Clearance (min 2”): _________
REV_A
Seat to footrest
Clearance
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
FRONT ROLLER
CMD Number: 80
Available On: TiLite TR, TiLite TRA, TiLite ZR, TiLite ZRA,
TiLite Aero T, TiLite Aero Z
Requirements:
Only available on rigid frames.
Not available with ip-back footrest.
Notes:
May not work with all chair congurations.
REV_A
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
V-FRONT IN 1/2” INCREMENTS
CMD Number: 84
Available On: TiLite TR, TiLite TRA, TiLite ZR, TiLite
ZRA, TiLite Aero T, TiLite Aero Z
Requirements:
For Z series the max V-width is 3” narrower than the front
seat outer width.
For T series the max V-width is 2.5” narrower than the front
seat outer width.
Notes:
May not work with all chair congurations.
Width: _________
Width
Creative Mobility Division
Backrest
Options
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
ADAPTED ADJUSTABLE HEIGHT
FOLDING BACKREST
CMD Number: 9
Available On: TiLite TR, TiLite TRA, TiLite ZR, TiLite ZRA,
TiLite Aero T, TiLite Aero Z, TiLite Twist
Requirements:
Choose Aluminum or Titainum back on order form.
Only available on Rigid Frames.
Notes:
The height adjustment range is 2 1/2” upwards from the
specied height.
Please round desired height to the nearest 1/2”.
May not work with all chair congurations.
Max height is 4” over standard.
Backrest Height: _________
REV_A
Backrest Height
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
ADAPTED FIXED HEIGHT FOLDING
BACKREST
CMD Number: 17
Available On: TiLite TR, TiLite TRA, TiLite ZR, TiLite
ZRA, TiLite Aero T, TiLite Aero Z
Requirements:
Notes:
May not work with all chair congurations.
Height:________
REV_A
Height
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
CUSTOM SIZE iSLEEVE
CMD Number: 18
Available On: TiLite TR, TiLite TRA, TiLite ZR, TiLite
ZRA, TiLite Aero T, TiLite Aero Z
Requirements:
Notes:
May not work with all chair congurations.
Height:________
REV_A
Height
Width
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
ADJUSTABLE HEIGHT NONFOLDING
BACKREST
CMD Number: 19
Available On: TiLite TR, TiLite TRA, TiLite ZR, TiLite ZRA
Requirements:
Only available on Titanium chairs.
Notes:
Minimum height is 9.5”
Maximum height is 22”
Also available with integrated or integrated fold-down push
handles.
May not work with all chair congurations.
Height Adjustment Range: _________to _________
REV_A
Height Adjustment Range
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
INWARD TAPERED SEAT BACK,
FOLDING ADJUSTABLE HEIGHT
CMD Number: 26
Available On: TiLite TR, TiLite TRA, TiLite ZR, TiLite ZRA,
TiLite Aero T, TiLite Aero Z.
Requirements:
Chair must have a folding backrest.
Available on rigid chairs only.
Notes:
Taper dimension changes as seat back height is adjusted.
Height of rigidizer bar may vary with the amount of taper.
May not work with all chair congurations.
Taper Dimension: _________
REV_A
Taper Dimension
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
INWARD TAPERED S-CURVED SEAT
BACK, FOLDING FIXED HEIGHT
CMD Number: 27
Available On: TiLite TR, TiLite TRA, TiLite ZR, TiLite ZRA,
TiLite Aero T, TiLite Aero Z.
Requirements:
Available on rigid chairs only.
Chair must have a folding backrest.
Notes:
Height of rigidizer bar may vary with the amount of taper
and height requested.
May not work with all chair congurations.
Taper Dimension: _________
REV_A
Taper Dimension
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
OUTWARD TAPERED S-CURVED
SEAT BACK, FOLDING FIXED HEIGHT
CMD Number: 28
Available On: TiLite TR, TiLite TRA, TiLite ZR, TiLite ZRA,
TiLite Aero T, TiLite Aero Z.
Requirements:
Available on rigid chairs only.
Chair must have a folding backrest.
Notes:
Height of rigidizer bar may vary with the amount of taper
and height.
Outward tapered seat back may interfere with Swing Away
Armrests.
May not work in certain chair congurations.
Taper Dimension: _________
REV_A
Taper Dimension
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
OUTWARD TAPERED SEAT BACK,
FOLDING ADJUSTABLE HEIGHT
CMD Number: 29
Available On: TiLite TR, TiLite TRA, TiLite ZR, TiLite ZRA,
TiLite Aero T, TiLite Aero Z.
Requirements:
Chair must have a folding backrest.
Available on rigid chairs only.
Notes:
Taper dimension changes as seat back height is adjusted.
Height of rigidizer bar may vary with the amount of taper
and height.
Outward tapered seat back may interfere with armrests.
May not work with all chair congurations.
Taper Dimension: _________
REV_A
Taper Dimension
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
ADAPTED HEIGHT FIXED BACKREST
CMD Number: 57
Available On: TiLite TR, TiLite TRA, TiLite ZR, TiLite ZRA
Requirements:
Only available on titanium rigid frames.
Notes:
Backrest height cannot be less than 5” and cannot exceed
20”.
May not work with all chair congurations.
Backrest Height : _________
REV_A
Height
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
UNIQUE-HEIGHT BACKREST
RIGIDIZER BAR
CMD Number: 85
Available On: TiLite TR, TiLite TRA, TiLite ZR, TiLite
ZRA, TiLite Aero T, TiLite Aero Z, TiLite Twist
Requirements:
There needs to be 3” difference from the top of the rigidizer
bar to the seat back height setting if back upholstery
is ordered with the wheelchair. Bolt-on backrest-shell
height and angle adjustments may be limited on some
congurations.
Notes:
May not work with all chair congurations.
Height: _________
Height
Creative Mobility Division
Sideguards
and Armrests
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
PROFILED RIGID
REMOVABLE SIDEGUARD
CMD Number: 7
Available On: TiLite TR, TiLite TRA, TiLite Aero T, TiLite
ZR, TiLite ZRA, TiLite Aero Z, TiLite Twist, TiLite Aero X,
TiLite 2GX
Requirements:
Requires rigid removable side guards, available in
Aluminum and Carbon Fiber.
Offset can be above or below the rear tire.
Side guards will be cut proling the rear tire.
Notes:
Aluminum side guards are black powder coated with edge
molding.
May not work with all chair congurations.
Offset: _________ Above or Below_________
Offset Dimension
REV_A
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
ADAPTED SPACING ON DESK ARM
CMD Number: 12
Available On: TiLite TR, TiLite TRA, TiLite ZR, TiLite ZRA,
TiLite Aero Z, TiLite Aero T, TiLite Twist
Requirements:
Only available on rigid frames or twist
Notes:
Non-standard desk arm spacing may require rear wheels
spacing to be increased for clearance.
Offsets are selectable in 1/4” increments up to 1”.
May not work with all chair congurations.
Desk Arm Offset (1/4” increments only): _________
REV_A
Offset
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
ADAPTED SPACING ON SIDE GUARD
CMD Number: 15
Available On: TiLite TR, TiLite TRA, TiLite ZR, TiLite ZRA,
TiLite Aero T, TiLite Aero Z, TiLite Twist
Requirements:
Only available on rigid frames or Twist.
Notes:
Non-standard Side guard spacing may require rear wheels
spacing to be increased for clearance.
Offsets are selectable in 1/4” increments up to 1”.
May not work with all chair congurations.
Side Guard Offset (1/4” increments only): _________
REV_A
Offset
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
UNIQUE RANGE HEIGHT
ADJUSTABLE FLIP-BACK ARMREST
CMD Number: 24
Available On: TiLite TR, TiLite TRA, TiLite ZR, TiLite ZRA,
TiLite Aero T, TiLite Aero Z
Requirements:
Only available on Rigid Frames.
Notes:
Height range must not exceed 3”.
May not work with all chair congurations.
Height Range: _________to _________
REV_A
Height Range
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
FIXED FENDERED SIDE GUARDS
CMD Number: 33
Available On: TiLite TR, TiLite TRA, TiLite ZR, TiLite ZRA.
Requirements:
Fixed Carbon Fiber Side Guard only available with non-
folding backrest. Offset dimension must be no less than
1/4” above rear wheel.
Notes:
Fixed Fendered Side Guard is proled above rear wheel.
Available in Aluminum or Carbon Fiber.
Aluminum or Carbon Fiber
Offset Dimension: _________
REV_A
Offset Dimension
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
POLISHED ALUMINUM FIXED SIDE
GUARDS
CMD Number: 41
Available On: TiLite TR, TiLite TRA, TiLite ZR, TiLite ZRA.
Requirements:
Only available with non-folding backrest.
Notes:
Side Guard panel is proled to rear wheel.
May not work with all chair congurations.
Offset Dimension: _________
REV_A
Offset Dimension
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
ADAPTED HEIGHT AND THICKNESS
SWING AWAY ARMREST
CMD Number: 51
Available On: TiLite TR, TiLite TRA,TiLite ZR, TiLite ZRA,
TiLite Aero T, TiLite Aero Z
Requirements:
Available on rigid chairs only.
Notes:
Swing away armrest tube is 1/8” thick.
May not work with all chair congurations.
Height: _________
REV_A
Height
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
SWING AWAY TUBULAR ARMREST
WITH DESK ARM PAD
CMD Number: 58
Available On: TiLite TR, TiLite TRA, TiLite ZR, TiLite ZRA,
TiLite Aero T, TiLite Aero Z.
Requirements:
Folding backrest required.
Notes:
Desk arm pad attached to swing away tubular armrest.
May not work with all chair congurations.
Pad Length Standard or 10” extended
REV_A
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
SWING AWAY TUBULAR ARMREST
WITH FULL LENGTH DESK ARM PAD
CMD Number: 59
Available On: TiLite TR, TiLite TRA, TiLite ZR, TiLite ZRA,
TiLite Aero T, TiLite Aero Z.
Requirements:
Folding backrest required.
Notes:
Full length desk arm pad attached to swing away armrest
tube.
May not work with all chair congurations.
REV_A
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
FOLDING CHAIR CLAMP ON SIDE
GUARDS
CMD Number: 60
Available On: TiLite Aero X, TiLite 2GX
Requirements:
Only available on Folding Frames.
Notes:
Side guard panel is proled to rear wheel
May not work with all chair congurations.
Prole: _________
REV_A
Prole
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
FLIP-BACK ARMREST WITH DESK
ARM PAD
CMD Number: 66
Available On: TiLite TR, TiLite TRA, TiLite ZR, TiLite ZRA,
TiLite Aero Z, TiLite Aero T.
Requirements:
Only available on rigid chairs.
Notes:
May not work with all chair congurations.
REV_A
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
FLIP BACK ARMREST WITH FULL
LENGTH DESK ARM PAD
CMD Number: 67
Available On: TiLite TR, TiLite TRA, TiLite ZR, TiLite ZRA,
TiLite Aero Z, TiLite Aero T.
Requirements:
Only available on rigid chairs.
Notes:
May not work with all chair congurations.
REV_A
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
FIXED CARBON FIBER SIDE GUARD
CMD Number: 73
Available On: TiLite TR, TiLite TRA, TiLite ZR, TiLite ZRA.
Requirements:
Non-folding backrest required
Notes:
May not work with all chair congurations.
Side Guard panel is proled to rear wheel.
Side Guard panel can be Aluminum or Carbon Fiber.
Offset Dimension: _________
Aluminum or Carbon Fiber
REV_A
Offset Dimension
Creative Mobility Division
Seating and
Upholstery
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
HYBRID SEAT PAN TENSION
ADJUSTABLE BY-STRAP SEAT
UPHOLSTERY
CMD Number: 13
Available On: TiLite TR, TiLite TRA,TiLite ZR, TiLite ZRA,
TiLite Aero T, TiLite Aero Z
Requirements:
Only avaiable for rigid frames.
Available for all non-tapered, tapered, and ergo frames.
Notes:
Seat pan may be placed on rear or front
section of seat upholstery.
May not work with all chair congurations.
Seat Pan Location:
Front or Rear
REV_A
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
ERGO SEAT PAN
CMD Number: 16
Available On: TiLite TR, TiLite TRA, TiLite Aero T, TiLite
ZR, TiLite ZRA, TiLite Aero Z
Requirements:
Only available for Ergonomic Frames
Notes:
Seat Pan size is dependent on Ergo Seat dimension and
will be built based off of seat depth.
May not work with all chair congurations.
REV_A
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
QUICK RELEASE SEAT PAN
CMD Number: 38
Available On: TiLite Aero X, TiLite 2GX
Requirements:
Only available for folding frames.
Notes:
May not work with all chair congurations.
REV_A
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
TWIST SOLID SEAT INSERT
CMD Number: 78
Available On: TiLite TWIST
Requirements:
Only available for Twist.
Notes:
Available with Bolt-on seat upholstery or directly bolting
solid seat pan onto frame.
May not work with all chair congurations.
REV_A
Creative Mobility Division
Push Handle
Options
(coming soon)
Creative Mobility Division
Finish
Options
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
HYDROGRAPHIC FINISH
CMD Number: 36
Available On: TiLite TR, TiLite TRA, TiLite Aero T, TiLite
ZR, TiLite ZRA, TiLite Aero Z
Requirements:
Notes:
May not work with all chair congurations.
REV_A
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
CUSTOM COLORED ANO
CMD Number: 75
Available On: TiLite TR, TiLite TRA, TiLite ZR, TiLite
ZRA, TiLite Aero T, TiLite Aero Z, TiLite Aero X, TiLite
2GX, TiLite Twist
Requirements:
Notes:
Fill in desired color next to each part.
Black, Sapphire, Red Pepper, Burnt Orange, Ultraviolet, or
Fuchsia.
REV_A
1
1
2
3
4
4
5
5
6
6
3
2
1
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
ARMED FORCES PATCHES
CMD Number: 74
Available On: TiLite TR, TiLite TRA, TiLite ZR, TiLite
ZRA, TiLite Aero T, TiLite Aero Z, TiLite Aero X, TiLite
2GX, TiLite Twist
Requirements:
Notes:
Armed forces patches will be centered on back
upholstery.
Branch logo patch will be underneath Combat
Wounded patch if applicable.
Branch: _________
Combat Wounded:
YES or NO
REV_A
Combat Wounded
Branch
Creative Mobility Division
Full Chair
Options
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
ALL TERRAIN TR
CMD Number: 3
Available On: TiLite TR
Requirements:
Use TR order form.
Notes:
Forward mounted 8” x 2” pneumatic caster
wheels.
Front angles greater than 90° are possible.
May not work with all chair congurations.
Wheelbase: ________
REV_A
Wheelbase
Creative Mobility Division
Wheel and Tire
Options
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
CUSTOMER SPECIFIED WHEEL/TIRE
COMBINATION
CMD Number: 43
Available On: TiLite TR, TiLite TRA, TiLite ZR, TiLite
ZRA, TiLite Aero T, TiLite Aero Z, TiLite Aero X, TiLite
2GX, TiLite Twist
Requirements:
Notes:
May not work with all chair congurations.
Wheel: ________________________________
Tire: __________________________________
REV_A
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
KNOBBY TIRES
CMD Number: 79
Available On: TiLite TR, TiLite TRA, TiLite Aero T, TiLite
ZR, TiLite ZRA, TiLite Aero Z.
Requirements:
Notes:
24” (540) Available on Shadow Wheels
26” (590) Available on Shadow, Spinergy LX, and Spinergy
SPOX.
May not work with all chair congurations.
REV_A
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
PROJECTION HANDRIMS (STANDARD
OR OBLIQUE)
CMD Number: 86
Available On: TiLite TR, TiLite TRA, TiLite ZR, TiLite
ZRA, TiLite Aero T, TiLite Aero Z, TiLite Aero X, TiLite
2GX, TiLite Twist
Requirements:
Limited to 24” (540) and 25” (554) wheel sizes.
Excludes carbon blade wheels.
Notes:
May not work with all chair congurations.
Standard or Oblique
Number of projections:
Eight or Ten