Examination Chair Reupholstery

    Name *

    Company

    Email *

    Telephone Number *

    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".

    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.
    Dimension Key:
    1 section couch reupholstery
    OUR SERVICES
    We also offer a range of medical furniture related services