Account Information Bee

Date Account Number

Branch Dealer Contact

Phone Fax

Email Address

PO Number Mark For

Ship To Information

[ ] Quote [ ] Order

Standard Seat Features

Name

Address

City State Zip

Phone

Specifications

• Seat & Back Pad• Adj. Flip Away Hip Pads• Adj Footpost• Angle Adj. Footplate• Pelvic Strap• Push Handle• Flat Headrest (can be

used as upper back pad)• 3 Base Options

Shown with Y Base and Optional Equipment

Age Range (approx.) 4 months - 5 years Maximum User Weight 55 lbs.Back Angle Adjustment 10° posterior Tilt Range Y Base 30° posterior - 10° anterior

Tilt Range Wooden Bases 20° posteriorY Base Footprint 30.7” x 25.5” Y Base Seat to Floor Height 11” - 29.5”Hi & Low Wooden Base Footprint 23.6” x 19.7” Hi Wooden Seat to Floor Ht. 21.7”

Low Wooden Seat to Floor Ht. 15.8”Hip Width Range 5” - 10” Seat Depth Range 4.3” x 13.8”Back Height Range 10.6” - 14.2”

Notes

US Retail Price List

Visit adaptiveimports.comsales@adaptiveimports.com

Phone (877) 767-9462 Fax (877) 394-3465

BeeJan 1, 2019

Visit adaptiveimports.comsales@adaptiveimports.co

NM20 $3,068

Bee Seat Unit NM01(Paddedseatbaseandbackpad,adj. flipawayhippads, angle adj. footplate, 3 pt. seat belt, upper back pad/flat head support (NB06)) Low Wooden Base NM03, Armrests NT02, Size 1 Sandals S16, Sz 1 High-rise flexible lateral support pad w/cover & strap THC08, Tray NT08, 1 Link Multigrip Headrest NB19

$3,068

Bee Seat Unit NM01(Paddedseatbaseandbackpad,adj.flipawayhippads, angle adj. footplate, 3 pt. seat belt, upper back pad/flat head support (NB06))High Wooden Base NM04, Armrests NT02, Size 1 Sandals S16, Sz 1 High-rise flexible lateral support pad w/cover & strap THC08, Tray NT08, 1 Link Multigrip Headrest NB19.

Jenx Bee Seat on Y Base

HCPCS E1399

Jenx Bee Seat on Low Wood Base

HCPCS E1399

NM23 $5,670

Bee Seat Unit NM01(Paddedseatbaseandbackpad,adj.flipawayhippads, angle adj. footplate, 3 pt. seat belt, upper back pad/flat head support (NB06))Y Base (Hi/Low) JM01, Armrests NT02, Size 1 Sandals S16, Sz 1 High-rise flexible lateral support pad w/cover & strap THC08, Tray NT08, 1 Link Multigrip Headrest NB19.

rs.

US Retail Price List

BeeJan 1, 2019

1 Link Multigrip He

2 Link Multigrip He

Bee Complete Package Options

rs. Low Wooden Bas

High Wooden Ba

Y Base (Hi/Low

NM21Jenx Bee Seat on High Wood Base

HCPCS E1399

Jenx Bee Seat pads, angle adj.upport (NB06).

Variations of th

Arm

Size 1 High-rise flexible support pad w/ cover &

Sandals,Size

See next page for ac

**Additional accessories available on next page

NM01

NM03

NM04 $233 Fixed height, 20° tilt posterior, lockable swivel caste

Use this section to custom configure a Bee system different than a package above

$233 Fixed height, 20° tilt posterior, lockable swivel castee

se

Build your own Bee

Padded seat base and back pad, adj. flip away hipfootplate, 3 pt. seat belt, upper back pad/flat head s

$1,598

m

Phone (877) 767-9462 Fax (877) 394-3465Page 2

adrest

adrest

JM01 $2,850 Height adj., 30° posterior - 10° anterior tilt, lockable swivel casters.)

Build your own Bee (Components)e items in this section are included in the packages above. If selecting NM20, NM21, or NM23, skip to next section.

rests NT02 $158 PairTray $315 Requires NT02 armrests aboveNT08

THC 08lateral strap $409 3.5"H x 7"L Pad w/strap, swing away brackets

NB19

NB10-01

$236

$338

1, Pair 6.8" (d) x 3.9" (w)$128S16

Cushioned, washable, black fabric cover. 1 joint w/ adj. links

Cushioned, washable, black fabric cover. 2 joints w/ adj. links

cessories compatible with any of the Bee Packages or Build your own Bee configurations

Visit adaptiveimports.comsales@adaptiveimports.com

Phone (877) 767-9462 Fax (877) 394-3465

Sandal Risers Sz 1,Set(4) SRB1

Booties S5

Long leg sitting board NL02

Knee Block NL01

Abduction Block GL24

Foam Blocks NB05

Zip Waistcoat Harness HB01

Elbow Blocks NT09

Activity Frame GT10

Grab Bar GT09

Page 3

Multigrip Shoulder Protractor

Footplate Pad S6 $83 Pad is mounted to backing plate and bolted to existing footplate.

US Retail Price List

BeeJan 1, 2019

AccessoriesItems listed below are can be used with any Bee system

NB03 01 $281 Cushioned Fingers provide adjustable support. $94 Set of 4 plates w/ screws that raise one sandal to 4 different heights.

1 Riser = .07" 2 Risers = 1.3" 3 Risers = 2" 4 Risers = 2.7"

$274 Velcro closure, soft support for use with and without shoes. Pair

$360 Removable board with velcro adjustable foam support blocks.

$319 Adjustable knee support for AB/ADduction or windsweeping control.

$109 Removable abduction support.

$139 Used to fill gaps or provide additional support at torso or hips$113 Center zipper, four point attachment.

$173 Gray polyurethane foam 6" (h) x 4" (d) x 3.5" (w), Pair

$206 High mounted frame w/ two clips for hanging activities.

$128 Low mounted bar for kids to hold onto for increased functionality

Armrest Cover Pad $60 Pad to cover top of armrest when tray not in use. NT03

Blank Page

Date: Account Number: Branch: Dealer Contact: Phone: Fax: Email Address: PO Number: Mark For: Name: Address: City: State: Zip: Phone_2: Notes: Quote / Order: OffBee on Low Base Package (NM20): OffBee on High Wood Base Package (NM21): OffBee on Y Base Package (NM23): OffShoulder Protractor: OffSandal Risers (SRB1): OffBooties (S5): OffLong Leg Sitting Board (NL02): OffKnee Block (NL01): OffAbduction Block (NB05): OffFoam Blocks (NB05): OffZip Waistcoat Harness (HB01): OffElbow Blocks (UBEB): OffActivity Frame (GT10): OffGrab Bar (GT09): OffFootplate Pad: OffEmail Form: Clear Form: Check Box1: OffCheck Box2: OffCheck Box3: OffCheck Box4: OffCheck Box6: OffCheck Box7: OffCheck Box8: OffCheck Box10: OffCheck Box11: OffCheck Box12: OffArmrest Pad: Off