Equipment Sales, Service & Calibrations

Call Today: 570-372-0905

James Fry570-372-0905memco.info@yahoo.com112 18th St. Selinsgrove, PA 17870

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Leadwires

Upholstery Form

Step 1 of 4

25%

Step 1: Choose Your Color
Color*
What Brand of Table*
Please be Specific

Step 2: Upload Images
Upload Two Pictures
1. With the table standing up, take a picture of the upholstery side.
2. Take one picture from the wood side.
Upload Your Images
Drop files here or

Max. file size: 300 MB.

Step 3: Download Your Form
Please fill out the form and Fax or email the completed upholstery measurement form. Fax 1-866-383-8014 or memco.info@yahoo.com.

Download Your Form:
You can also upload the completed form below.
Upload Your Form
Max. file size: 300 MB.

Step 4: Payment
Name*
First Last
Phone*
Email*
Address*
Street Address Address Line 2 City State ZIP Code
Billing Address
Name*
Phone*
Billing Address
Street Address Address Line 2 City State ZIP Code
Are Billing and Installation Address the Same*
- Yes, they are the same
- No, they are different
Installation Address
Phone*
Name*
Installation Address*
Street Address Address Line 2 City State ZIP Code
Hidden
Section Break
Upholstery Flat Rate Cost
Price:
Total
$0.00
You will be redirected to PayPal once you click submit

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