Design Request Form

Design Request Form
Submitter's Email
Dealer Name*
Dealer ID #*
Contact Person*

First NameLast Name
Contact email*
example@example.com
Phone Number*
Please enter a valid phone number.Format: (000) 000-0000.
COE Rep *

First NameLast Name
COE Sales Rep*
Project Name*
Is this a revision request?*

YesNo
Source of Dimensions (please upload the file at the bottom of the form)*

Dealer SketchDWG FilePDFCET
Source of Dimensions (please attach file at bottom of form)*

Dealer SketchDWG FileBothN/A
Which collection(s) are you requesting?
OfficeSource Laminate or OfficeSource Variant w/ leg choice, etc.
Which collection(s) are you requesting?
OfficeSource Laminate or OfficeSource Variant w/ leg choice, etc.
Pedestals Type:*

Desk MountedFreestandingMobileN/A
Pedestal Drawer Configuration:*

Full - BBFFull - FFFull - Combo (BBF & LFD)Hanging - BF or 3/4 - BFN/A
Hutch Type:*

OpenClosed w/All Laminate DoorsClosed w/Laminate Framed Glass DoorsClosed w/Silver/Glass DoorsWall MountN/A
Include Seating?*

YesNo
OfficeSource Chair Model #
Product/s Requested Are Not OfficeSource*

FalseTrue
Panels:*

OfficeSource - (NON-powered system)N/A
OfficeSource Panels:*

UpholsteredOpaque View-ThroughN/AOther
Height of Panels (OfficeSource):

42"66"
Height of Panels (Fuse):

39"67"
Electrified?

YesNo
Type:

Base FeedPower Pole
Filing:

LateralVertical
Width (Only for Laterals):

30"36"42"
# of Drawers:

2345
Accessories:

Tasklights STDTasklights LEDKeyboardTackboardMonitor Arm
Laminate/Finish Color:*

Arcadia WhiteAmerican ElmCoastal GrayJavaModern WalnutMahoganyCherryWhiteMapleN/AOther
File Upload

Cancelof
Additional information
Note:

Our typical turnaround time is 48 hours, larger projects may require more time. Projects are completed on a first come first served basis, including revisions.

Project requests without adequate dimensions and information will not be processed. Once we have received all pertinent information to proceed, the 48-hour turnaround time will apply.
Should be Empty: