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Chair Occupant Profile Form

Chair Occupant Profile Form

In order to ensure correct chair selection, please provide the following occupant details.

"*" indicates required fields

Email*

REQUESTOR'S DETAILS

Name*
Delivery Address*

OCCUPANT'S DETAILS

Name
Days Working*
Average Weight*
Approx. Build*
Measure from back of the backside to back of the knee when in sitting position. Refer to photo below.
Preferred backrest height?*
Preferred backrest type?*
Armrests required?*
Assigned budget*
This field is for validation purposes and should be left unchanged.