Invacare Action 5 Folding User Manual

June 4, 2024
INVACARE

Invacare Action 5 Folding

Standard Features

  • Max user weight 100kg – 130kg (Pending seat width)
  • Crash tested ISO 7176 – Part 19
  • Self Propulsion with 22″ or 24″ quick release rear wheels
  • Choice of 7 seat widths 15″ – 21″ (380mm to 530mm)
  • Choice of 7 seat depths 14″ – 20″ (350mm to 500mm)
  • Choice of 8 front seat to floor heights 14″ – 21″ (360mm to 535mm)
  • Choice of 7 reat seat to floor heights 14″ – 20″ (360mm to 510mm)
  • Nylon seat upholstery
  • Fixed backrest (90° to the seat rail)
  • Fixed backrest, nylon and mesh padded cover
  • Fixed front end or 80° swing in/swing out legrest hangers
  • Flip up footplates
  • Sideguards / skirtguards
  •  Choice of 10 exciting colours and 2 component accents
  • 2° Camber
  • Push to lock brakes
  • Transportation kit with buckle belt
  • Adjustable heel straps
  • User tool kit

Standard Base price: £1,227

Code :              Description

**BASE PRODUCT***

SJC0004| | ACTION 5 FOLDING| | 0
SJCSPEC| | SPECIAL| | POA
**FRAME***
SJC0200| | SWING AWAY FRAME| (NC 3000, 3100, 3230, 3440, 3450)| 0
SJC0210| | FIXED FRONT END 80 DEGREE ANGLE FRAME| (NC 1111, 3010, 3020, 3030, 3040, 3050, 3110, 3120, 3130, 3140,

3150, 3333, 3400, 3410, 3420, 3430)

| 0
PROPULSION
SJC0300| | SELF PROPULSION| | £1,227
SEAT WIDTH

SJC1030| | 15″ SW| | 0
SJC1040| | 16″ SW| | 0
SJC1050| | 17″ SW| | 0
SJC1060| | 18″ SW| | 0
SJC1070| | 19″ SW| | 0
SJC1075| | 20″ SW| (NC 1100, 1110, 1170)| 0
SJC1078| | 21″ SW| (NC 1100, 1110, 1170)| 0
SEAT DEPTH
SJC1100| | 14″ SD| (NC 1270, 3040, 3140, 7080, 7100, 7110, 7600, 7610)| 0
SJC1110| | 15″ SD| (NC 1270, 7600)| 0
SJC1120| | 16″ SD| (NC 1270)| 0
SJC1130| | 17″ SD| | 0
SJC1140| | 18″ SD| | 0
SJC1150| | 19″ SD| | 0
SJC1160| | 20″ SD| | 0
SJC1170| | 14″ – 16″ ADJ SD| (NC 1510, 7600)| 0
SJC1180| | 16″ – 18″ ADJ SD| (NC 1510)| 0
SJC1190| | 18″ – 20″ ADJ SD| (NC 1510)| 0
FRONT SEAT HEIGHT

SJC1200| | 14″ FSH| (NC 1310, 1320, 1330, 1340, 1350, 1360, 3420, 3430, 3450, 7040, 7055, 7060, 7070, 7080, 7100, 7110)| 0
SJC1210| | 15″ FSH| (NC 1320, 1330, 1340, 1350, 1360, 3430, 7000, 7020, 7030, 7040, 7070, 7080, 7100, 7110)| 0
SJC1220| | 16″ FSH| (NC 1330, 1340, 1350, 1360, 7080, 7100, 7110)| 0
SJC1230| | 17″ FSH| (NC 1300, 1340, 1350, 1360, 7110)| 0
SJC1240| | 18″ FSH| (NC 1300, 1310, 1350, 1360)| 0
SJC1250| | 19″ FSH| (NC 1300, 1310, 1320, 1360)| 0
SJC1260| | 20″ FSH| (NC 1300, 1310, 1320, 1330, 7000, 7020, 7030, 7040)| 0
SJC1270| | 21″ FSH| (NC 1300, 1310, 1320, 1330, 1340, 3030, 3130, 7000, 7020, 7030,

7040, 7055, 7060, 7070, 7080, 7100)

| 0
REAR SEAT HEIGHT – MUST BE EQUAL TO OR LOWER THAN FRONT SEAT HEIGHT
SJC1300| | 14″ RSH| (NC 7250, 7260)| 0
SJC1310| | 15″ RSH| | 0
SJC1320| | 16″ RSH| | 0
SJC1330| | 17″ RSH| | 0
SJC1340| | 18″ RSH| | 0
SJC1350| | 19″ RSH| (NC 7200, 7210)| 0
SJC1360| | 20″ RSH| (NC 7200, 7210, 7230, 7240, 7244)| 0
SEAT UPHOLSTERY

SJC1500| | DEPTH ADJUSTABLE| | £21
SJC1510| | NYLON FIXED| | t
SJC1520| | TENSION AND DEPTH ADJUSTABLE| | £56
BACKREST ATTACHMENT
SJC2000| | FIXED 90°| | t
SJC2020| | ANGLE ADJUSTABLE (-15° TO +15°) AND FOLDING| | £95
BACKREST FIXED HEIGHT – INCLUDING FIXED PUSH HANDLES
SJC2130| | 12″ BACK HT| (NC 2300, 2310, 2400, 2410, 2420, 2505, 8160, 8200)|
SJC2140| | 13″ BACK HT| (NC 2300, 2310, 2400, 2410, 2420, 2505, 8160, 8200)|
SJC2143| | 14″ BACK HT| (NC 2300, 2310, 2400, 2410, 2420, 2505, 8160, 8200)|
SJC2150| | 15″ BACK HT| (NC 2300, 2310, 2400, 2410, 2420, 8200)|
SJC2153| | 16″ BACK HT| (NC 2300, 2310, 2400, 2410, 2420)|
SJC2160| | 17″ BACK HT| (NC 2300, 2310, 2400, 2410, 2420)|
SJC2163| | 18″ BACK HT| (NC 2300, 2310, 2400, 2410, 2420)|
SJC2170| | 19″ BACK HT| (NC 2300, 2310, 2400, 2410, 2420)|
SJC2173| | 20″ BACK HT| (NC 2300, 2310, 2400, 2410, 2420)|
BACKREST HEIGHT ADJUSTABLE – PUSH HANDLES MUST ALSO BE SELECTED IN THE NEXT SECTION BELOW
SJC2300| | HT ADJ 14.5″ – 16″| (NC 2505)| £24
SJC2310| | HT ADJ 16″ – 19.5″| | £24
PUSH HANDLES – WHEN SELECTED WITH HEIGHT ADJUSTALE BACKREST
SJC2400| | W/O PUSH HANDLES| (NC 8160, 9100, 9200)|
SJC2410| | REAR SET| (NC 2505)| £47
SJC2420| | INTEGRATED| | £77
BACKREST UPHOLSTERY

SJC2500| | W/O BACK UPH – DELIVERED WITH SIMPLE SLEEVE| |
SJC2505| | FIXED NYLON AND MESH| (NC 5500)| t
SJC2510| | CONTOUR ADJUSTABLE| | £70
LEGREST HANGER RH
SJC3000| | W/O HANGER RH| (NC 3230, 5400)|
SJC3010| | 70° RH| (NC 1111, 3440, 3450, 22222)|
SJC3020| | 80° RH| (NC 1111, 3440, 3450, 22222)|
SJC3030| | 90° RH| (NC 1111, 3200, 3440, 3450, 7080, 7100, 7110, 22222)|
SJC3040| | ELEVATING LEGREST RH, WITH CALF PAD INCLUDED – WITH SEAT HEIGHT 360 AND 385 MM, LEGREST MAY BE IN CONTACT WITH THE GOUND IF UL IS MORE THAN 400MM| (NC 3230, 3400, 3440, 3450, 5400, 22222, 8120)| £110
SJC3050| | AMPUTEE LEGREST RH| (NC 1111, 3200, 3210, 3230, 5400, 8100, 8120)| £127
LEGREST HANGER LH

SJC3100| | W/O HANGER LH| (NC 5400)|
SJC3110| | 70° LH| (NC 3333, 3440, 3450)|
SJC3120| | 80° LH| (NC 3333, 3440, 3450)|
SJC3130| | 90° LH| (NC 3300, 3333, 3440, 3450, 7080, 7100, 7110)|
SJC3140| | ELEVATING LEGREST LH, WITH CALF PAD INCLUDED – WITH SEAT HEIGHT 360 AND 385 MM, LEGREST MAY BE IN CONTACT WITH THE GOUND IF UL IS MORE THAN 400MM| (NC 3400, 3440, 3450, 44444, 5400, 8120)| £110
SJC3150| | AMPUTEE LEGREST LH| (NC 3333, 3300, 3310, 5400, 8100, 8120)| £126
FOOTREST RH
SJC3200| | FLIP UP RH| (NC 3410)| t
SJC3210| | FLIP UP DEPTH AND ANGLE ADJUSTABLE RH FOOTPLATE – NB: IF SELECTED WITH A FIXED FOOTREST – FOOTPLATE WILL BE ANGLE AND DEPTH ADJUSTABLE AND COMPATIBLE WITH ANKLE HUGGERS. IF SELECTED WITH AN ELEVATING LEGREST – FOOTPLATE WILL BE ANGLE, DEPTH AND WIDTH ADJUSTABLE – NOT COMPATIBLE WITH ANKLE HUGGERS.| | £41
SWO1111| | FLIP UP DEPTH AND ANGLE ADJUSTABLE RH FOOTPLATE – NB: COMPATIBLE WITH ANKLE HUGGERS (FOR ELEVATING LEGRESTS ONLY)| | £41
SJC3230| | ONE PIECE| (NC 3300, 3310, 3333, 3400, 3410, 3420, 3430)| £177
SJC22222| | NO FOOTPLATE REQUIRED| |
FOOTREST LH

SJC3300| | FLIP UP LH| (NC 3410)| t
SJC3310| | FLIP UP DEPTH AND ANGLE ADJUSTABLE LH FOOTPLATE – NB: IF SELECTED WITH A FIXED FOOTREST – FOOTPLATE WILL BE ANGLE AND DEPTH ADJUSTABLE AND COMPATIBLE WITH ANKLE HUGGERS. IF SELECTED WITH AN ELEVATING LEGREST – FOOTPLATE WILL BE ANGLE, DEPTH AND WIDTH ADJUSTABLE – NOT COMPATIBLE WITH ANKLE HUGGERS.| | £41
SWO3333| | FLIP UP DEPTH AND ANGLE ADJUSTABLE LH FOOTPLATE – NB: COMPATIBLE WITH ANKLE HUGGERS (FOR ELEVATING LEGRESTS ONLY)| | £41
SJC44444| | NO FOOTPLATE REQUIRED| |
FOOTREST TUBE
SJC3400| | SWING AWAY FRAME HIGH MOUNTED TUBE| |
SJC3410| | SWING AWAY FRAME SHORT TUBE| |
SJC3420| | SWING AWAY FRAME STANDARD TUBE| |
SJC3430| | SWING AWAY FRAME LONG TUBE| |
SJC3440| | FIXED FRAME STANDARD TUBE| |
SJC3450| | FIXED FRAME LONG TUBE| |
MUDGUARDS/SIDEGUARDS

SJC3700| | W/O SIDEGUARD/MUDGUARD| |
SJC3750| | SIDEGUARDS| (NC 4010, 4020, 4030, 4040, 4110, 4120, 4130, 4140)| t
SJC3800| | MUDGUARDS| (NC 4010, 4020, 4030, 4040, 4110, 4120, 4130, 4140, 8160)| £70
ARMREST RH
SJC4000| | W/O ARMREST| |
SJC4010| | T-ARM DESK ARMPAD RH| (NC 7600, 7610)| £70
SJC4020| | T-ARM FULL ARMPAD RH| | £70
SJC4030| | SWING AWAY DESK ARMPAD RH| (NC 5700)| £94
SJC4040| | SWING AWAY FULL ARMPAD RH| (NC 5700)| £94
ARMREST LH

SJC4100| | W/O ARMREST| |
SJC4110| | T-ARM DESK ARMPAD LH| (NC 7600, 7610)| £70
SJC4120| | T-ARM FULL ARMPAD LH| | £70
SJC4130| | SWING AWAY DESK ARMPAD LH| (NC 5700)| £94
SJC4140| | SWING AWAY FULL ARMPAD LH| (NC 5700)| £94
SEAT CUSHION
SJC55555| | WITHOUT SEAT CUSHION| |
SJC5000| | BASIC FOAM CUSHION| | £20
SEATING OPTIONS
SJC5100| | CLIP TO KEEP THE CHAIR FOLDED| | £14
SJC5400| | CALF STRAP| |
SJC5500| | FOLDING BACKBRACE| | £20
SJC5700| | W/O AUTOLOCK SAFETY DEVICE| |
FRAME COLOUR

SJC6000| | PEARL WHITE| |
SJC6010| | ANTHRACITE BLACK| |
SJC6020| | POP BLUE| |
SJC6030| | DARK RED| |
SJC6040| | ELECTRIC GREEN| |
SJC6050| | HYPNOTIC PURPLE| |
SJC6060| | PEARL GREY| |
SJC6070| | MATT BLACK| |
SJC6080| | INTENSE YELLOW| |
SJC6090| | VIBRATING ORANGE| |
SJC6099| | SPECIAL COLOUR| | £161
SWO10002| | SLATE GREY – SPECIAL COLOUR, 3 WEEK LEAD TIME| | £161
SWO10003| | RED MATT – SPECIAL COLOUR, 3 WEEK LEAD TIME| | £161
SWO10004| | POLAR BLUE – SPECIAL COLOUR, 3 WEEK LEAD TIME| | £161
SWO10005| | CANDY PINK – SPECIAL COLOUR, 3 WEEK LEAD TIME| | £161
ACCENT COLOUR
SJC6100| | WITHOUT ACCENT COLOUR SILVER FORK AND REARWHEEL SUPPORT| |
SJC6110| | BLUE ACCENT| |
SJC6200| | PURPLE ACCENT| |
FRONT CASTORS

SJC7000| | 4″ X 1.1/4 SOFTROLL| | £35
SJC7020| | 4″ X 3/4″ (100 X 20 MM) SOLID| |
SJC7030| | 4″ X 1″ INTEGREATED “LIGHTS”| | £25
SJC7040| | 4″ X 1.3/8″ ALU SOFTROLL| | £35
SJC7055| | 5″ X 1″ SOLID| | t
SJC7060| | 5″ X 1″ SOLID INTEGRATED “LIGHTS”| | £25
SJC7070| | 5″ X 1.3/8″ ALU SOFTROLL| | £35
SJC7080| | 6″ X 1″ SOLID| |
SJC7100| | 6″ X 1.3/8″ ALU SOFTROLL| | £35
SJC7110| | 7″ X 1.1/4″ SOLID| |
REAR WHEELS
SJC7200| | 22″ STANDARD, CROSS SPOKED WHEEL| (NC 7320, 7410)|
SJC7210| | 22″ LIGHTWEIGHT WHEEL| (NC 7320, 7410, 8000, 8160)| £56
SJC7230| | 24″ STANDARD, CROSS SPOKED WHEEL| (NC 7320)| t
SJC7240| | 24″ LIGHTWEIGHT WHEEL| (NC 7410, 8000, 8160)| £56
SJC7244| | 24″ SPINERGY WHEELS| (NC 7302, 7410, 8000, 8160)| £534
SJC7250| | 25″ LIGHTWEIGHT WHEEL| (NC 7302, 7304, 7315, 7410, 8000, 8160)| £56
SJC7260| | 25″ SPINERGY WHEELS| (NC 7302, 7304, 7315, 7410, 7420, 8000, 8160)| £534
REAR WHEEL TYRE

SJC7302| | SOLID BLACK 1.3/8″| | t
SJC7304| | PNEUMATIC TYRE BLACK 1.3/8″| |
SJC7315| | PNEUMATIC LOW PROFILE BLACK 1″| |
SJC7320| | SCHWALBE PNEUMATIC MARATHON PLUS EVO 1″| | £26
HANDRIM
SJC7400| | ALUMINIUM HANDRIM| | t
SJC7410| | STAINLESS STEEL| |
SJC7420| | HANDRIM COATED IN BLACK ANTI-SLIP| | £67
REAR WHEEL AXLE

SJC7500| | Q/R AXLE| | t
REAR WHEEL POSITION
SJC7600| | VERY ACTIVE| |
SJC7610| | ACTIVE| |
SJC7620| | MEDIUM ACTIVE| |
SJC7630| | STANDARD| | t
CAMBER ANGLE

SJC7700| | 0° CAMBER| |
SJC7710| | 1° CAMBER| |
SJC7720| | 2° CAMBER| | t
SJC7730| | 3° CAMBER| |
SJC7740| | 4° CAMBER| |
CHASSIS OPTION
SJC8000| | SPOKE PROTECTORS| | £77
PUMP
SJC8020| | PUMP – LOW PRESSURE| | £22
SJC8030| | PUMP – HIGH PRESSURE| | £39
BRAKES
SJC8100| | PUSH TO LOCK BRAKES| | t
SJC8110| | PULL TO LOCK BRAKES| |
SJC8120| | PUSH TO LOCK BRAKES WITH EXTENTION| | £16
SJC8130| | PULL TO LOCK BRAKES WITH EXTENTION| | £16
SJC8160| | ATTENDANT HUB BRAKES| | £220
TRANSPORTATION KIT

SJC8200| | TRANSPORTATION BRACKETS| | t
**SAFETY OPTIONS*
SJC8300| | BUCKLE BELT| | t
SJC8500| | REAR ANTI-TIPPER ACTIVE RH| (NC 9200)| £61
SJC8550| | REAR ANTI-TIPPER ACTIVE LH| (NC 9100)| £61
SJC8600| | REFLECTORS KIT (WHEELS)| | £13
ATTENDANT OPTION
SJC9000| | CANE HOLDER| | £31
SJC9100| | TIPPING AID LH| | £47
SJC9200| | TIPPING AID RH| | £47
OTHER OPTIONS**

Non Conforming Options:

  • SJC1100 14″ SD

  • SJC1110 15″ SD

  • SJC1170 14″ – 16″ ADJ SD

  • SJC1270 21″ FSH

  • SJC1300 14″ RSH

  • SJC1310 15″ RSH

  • SJC1320 16″ RSH

  • SJC1330 17″ RSH

  • SJC1340 18″ RSH

  • SJC1350 19″ RSH

  • SJC1360 20″ RSH

  • SJC1510 NYLON FIXED

  • SJC2300 HT ADJ 14.5″ – 16″

  • SJC2310 HT ADJ 16″ – 19.5″

  • SJC2400 W/O PUSH HANDLES

  • SJC2410 REAR SET

  • SJC2420 INTEGRATED

  • SJC2505 FIXED NYLON AND MESH

  • SJC3000 W/O HANGER RH

  • SJC3010 70° RH

  • SJC3020 80° RH

  • SJC3030 90° RH

  • SJC3040 ELEVATING LEGREST RH, WITH CALF PAD INCLUDED – WITH SEAT HEIGHT 360 AND 385 MM, LEGREST MAY BE IN CONTACT WITH THE GOUND IF UL IS MORE THAN 400MM

  • SJC3050 AMPUTEE LEGREST RH

  • SJC3100 W/O HANGER LH

  • SJC3110 70° LH

  • SJC3120 80° LH

  • SJC3130 90° LH

  • SJC3140 ELEVATING LEGREST LH, WITH CALF PAD INCLUDED – WITH SEAT HEIGHT 360 AND 385 MM, LEGREST MAY BE IN CONTACT WITH THE GOUND IF UL IS MORE THAN 400MM

  • SJC3150 AMPUTEE LEGREST LH

  • SJC3200 FLIP UP RH

  • SJC3210 FLIP UP DEPTH AND ANGLE ADJUSTABLE RH FOOTPLATE – NB: IF SELECTED WITH A FIXED FOOTREST –
    FOOTPLATE WILL BE ANGLE AND DEPTH ADJUSTABLE AND COMPATIBLE WITH ANKLE HUGGERS. IF SELECTED
    WITH AN ELEVATING LEGREST – FOOTPLATE WILL BE ANGLE, DEPTH AND WIDTH ADJUSTABLE – NOT COMPATIBLE
    WITH ANKLE HUGGERS. SWO1111 FLIP UP DEPTH AND ANGLE ADJUSTABLE RH FOOTPLATE – NB: COMPATIBLE WITH ANKLE HUGGERS (FOR ELEVATING LEGRESTS ONLY)

  • SJC3230 ONE PIECE

  • SJC22222 NO FOOTPLATE REQUIRED

  • SJC3300 FLIP UP LH

  • SJC3310 FLIP UP DEPTH AND ANGLE ADJUSTABLE LH FOOTPLATE – NB: IF SELECTED WITH A FIXED FOOTREST –
    FOOTPLATE WILL BE ANGLE AND DEPTH ADJUSTABLE AND COMPATIBLE WITH ANKLE HUGGERS. IF SELECTED
    WITH AN ELEVATING LEGREST – FOOTPLATE WILL BE ANGLE, DEPTH AND WIDTH ADJUSTABLE – NOT COMPATIBLE
    WITH ANKLE HUGGERS. SWO3333 FLIP UP DEPTH AND ANGLE ADJUSTABLE LH FOOTPLATE – NB: COMPATIBLE WITH ANKLE HUGGERS (FOR ELEVATING LEGRESTS ONLY)

  • SJC44444 NO FOOTPLATE REQUI

  • SJC3400 SWING AWAY FRAME HIGH MOUNTED TUBE

  • SJC3410 SWING AWAY FRAME SHORT TUBE

  • SJC3420 SWING AWAY FRAME STANDARD TUBE

  • SJC3430 SWING AWAY FRAME LONG TUBE

  • SJC3440 FIXED FRAME STANDARD TUBE

  • SJC3450 FIXED FRAME LONG TUBE

  • SJC4010 T-ARM DESK ARMPAD RH

  • SJC4020 T-ARM FULL ARMPAD RH

  • SJC4030 SWING AWAY DESK ARMPAD RH

  • SJC4040 SWING AWAY FULL ARMPAD RH

  • SJC4110 T-ARM DESK ARMPAD LH

  • SJC4120 T-ARM FULL ARMPAD LH

  • SJC4130 SWING AWAY DESK ARMPAD LH

  • SJC4140 SWING AWAY FULL ARMPAD LH

  • SJC5400 CALF STRAP

  • SJC5500 FOLDING BACKBRACE

  • SJC5700 W/O AUTOLOCK SAFETY DEVICE

  • SJC7000 4″ X 1.1/4 SOFTROLL

  • SJC7020 4″ X 3/4″ (100 X 20 MM) SOLID

  • SJC7030 4″ X 1″ INTEGREATED “LIGHTS”

  • SJC7040 4″ X 1.3/8″ ALU SOFTROLL

  • SJC7055 5″ X 1″ SOLID

  • SJC7060 5″ X 1″ SOLID INTEGRATED “LIGHTS”

  • SJC7070 5″ X 1.3/8″ ALU SOFTROLL

  • SJC7080 6″ X 1″ SOLID

  • SJC7100 6″ X 1.3/8″ ALU SOFTROLL

  • SJC7110 7″ X 1.1/4″ SOLID

  • SJC7200 22″ STANDARD, CROSS SPOKED WHEEL

  • SJC7210 22″ LIGHTWEIGHT WHEEL

  • SJC7230 24″ STANDARD, CROSS SPOKED WHEEL

  • SJC7240 24″ LIGHTWEIGHT WHEEL

  • SJC7244 24″ SPINERGY WHEELS

  • SJC7250 25″ LIGHTWEIGHT WHEEL

  • SJC7260 25″ SPINERGY WHEELS

  • SJC7302 SOLID BLACK 1.3/8″

  • SJC7304 PNEUMATIC TYRE BLACK 1.3/8″

  • SJC7315 PNEUMATIC LOW PROFILE BLACK 1″

  • SJC7320 SCHWALBE PNEUMATIC MARATHON PLUS EVO 1″

  • SJC7410 STAINLESS STEEL

  • SJC7420 HANDRIM COATED IN BLACK ANTI-SLIP

  • SJC7600 VERY ACTIVE

  • SJC7610 ACTIVE

  • SJC8000 SPOKE PROTECTORS

  • SJC8100 PUSH TO LOCK BRAKES

  • SJC8120 PUSH TO LOCK BRAKES WITH EXTENTION

  • SJC8160 ATTENDANT HUB BRAKES

  • SJC8200 TRANSPORTATION BRACKETS

  • SJC9100 TIPPING AID LH

  • SJC9200 TIPPING AID RH

Subject to Invacares standard terms and conditions.
Invacare reserve the right to alter product specification without prior notice
For a more complex customer requirement
please refer to our Invacare Unique special order form. email specialsuk@invacare.com or Fax: 01656 776220
Special Instructions
Please supply the following information:
Name: Email:
Phone: Fax:
Description of special request (please include relavent option code or part number):

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