Examination Chair Reupholstery

Name *

Company

Email *

Telephone Number *

Address *

Postcode *

Couch *

Serial Number *

Breathing Hole? *

Couch Colour * To avoid colour match problems we offer a special discount if the whole couch is being re-upholstered.

A (cm) * Length of the head section.

B (cm) * Width of the head section.

C (cm) * Width of the middle section.

D (cm) * Length of the middle section.

E (cm) * Length of the split legs.

F (cm) * Width of the split legs.

G (cm) Width of the foot section.

H (cm) Length of the foot section.

J (cm) * The thickness of the Upholstery.

Please provide an image of the couch and damaged upholstery. This will make sure we provide an accurate service. *

Engineer Required? * If you wish for our engineer to visit & install the section(s) please select "Yes".

Please provide any further information that we may need to know.

Form Number: Form04 - Form Created: 13.03.18 - Issue Number: Issue.01

Please include as much information as possible to ensure our quote in accurate and that we provide the correct service for your needs.

Advise if you require a face hole in the section you are ordering.
Advise the length, width and total thickness of the section.
Choose the colour you require from our standard colour selection. If you require a different colour we may be able to source the vinyl for orders of 10 sections or more.
If the section you require is a single leg section advise H, E and F dimensions that are shown on the split leg diagram.
To avoid colour match problems we offer a special discount if the whole couch is being re-upholstered.
If you wish for our engineer to visit to install the section(s) please tick the box.