PLEASE FILL OUT AND SUBMIT Specify Make & Model of Chair * SELECT YOUR MAINFRAME TUBE DIAMETER FOR WHERE YOUR LEVER WILL MOUNT (IN INCHES) TUBE DIAMETER * 3/4'' (0.75) 1'' (1.00) 1-1/8'' (1.125) 1-1/4'' (1.25) 1-3/8" (1.375) Quickie Oval SELECT YOUR CAMBER TUBE DIAMETER CAMBER TUBE DIAMETER * 3/4'' (0.75) 1'' (1.00) 1-1/8'' (1.125) 1-1/4'' (1.25) 1-3/8" (1.375) KiMobility SELECT YOUR WHEEL MODEL (SPINERGY) WHEEL MODEL * CLX BLADE LXL LXL LX XLX XSLX SLX-24 spk. XSL SL SLX-18 spk. SPOK EVERYDAY Email * Address * Address 1 Address 2 City State/Province Zip/Postal Code Country Phone # Thank you! Thank you for choosing PushLOX as your preferred locks!We will eMail you quote and payment options.