Demo Chair Check-Out Form
Office Master Demo chair check out. This form is for Cal Ergonomics use only.

* Required Fields
First Name:
*
Last Name:
*
Company:
*
E-mail:

*

Telephone:
 *
Client Company:
*
Client Name:
*
Client Phone:
*
Long Term Demo:
 Yes No 
Chair #1:
Chair #2:
Chair #3:
Chair #4:
Chair #5:

Chairs Checked Out
BC Series:
BC41  BC42  BC44  BC45  BC46  BC47 
BC48  BC48S  BC49  BC85  BC86  BC86S 
BC87  BC98  BC98S  BC99 
Classic Series:
CL12  CL13  CL14  CL15  CL33  CL35 
CL44  CL45  CL48  CL55  CLVS 
Classic Lab Stool:
 CLS53  CLS57  CLS61 
DB Series:
 DB52  DB53  DB56  DB57  DB74  DB78 
DB92  DB96 
Glenworth Series:
 GL62EZ  GL63EZ  GL64EZ  GL65  GL66EZ  GL67 
GL68EZ  GL69EZ 
24-Seven Series:
 IU54  IU55  IU58  IU72  IU73  IU76 
24-Seven Heavy-Duty Series:
 IU76HD  IU77HD  IU79HD  IU76PD  IU79PD 
Master Series:
 MA52  MA54S  MA55  MA56 
Maxwell Series:
 MX74  MX78 
Pacific Series:
 9100  9100S  9101  9101S  9200 
Paramount Value Series:
 PT62  PT69  PT72  PT74  PT74S  PT76 
PT78  PT78S  PT79  PTYM 
Paramount Series:
 7770  7780  7878  7893  7897 
Patriot Series:
 PA53  PA55  PA57  PA58  PA59 
5400  5500  5600  5800  5900  5988 
Reception Room Furnishings:
 3001  3002  3003 
Stacking Chairs:
 ST100  ST104  ST111  ST128  STDLY  STGANG 
ST200  ST200C  STDLY2 
Stackable Guest Chairs:
 SG2K  SG300  SG3A  SG3B  SG3C  SG3W  STDLY3 
Wharton Premier Series:
 WH80  WH84S  WH86  WH87  WH92  WH96 
Workstools Series:
WS10  WS15  WS23  WS24  WS25CRM 
Zesta Series:
 ZA62  ZA66  ZA92  ZA94  ZA96  ZA98 
YS Series:
 YS72  YS73  YS74  YS75  YS78  YS79 

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Cupertino, CA 95014
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