Equipment Sales, Service & Calibrations
Call Today:
570-372-0905
James Fry
570-372-0905
memco.info@yahoo.com
112 18th St. Selinsgrove, PA 17870
Home
Calibrations
Certificates
Table Upholstery
X Ray Repair
We Buy Tables
Traction Head Repairs
Reconditioned Tables
50% Tax Credit
Pre-Owned Equipment
Contact Us
Service Request Form
RMA Request Form
Leadwires
Upholstery Form
Step
1
of
4
25%
Step 1: Choose Your Color
Color
*
What Brand of Table
*
Zenith
Lloyd
Hill
Other
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
Select files
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:
Zenith Form
Lloyd Form
Hill 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
Alabama
Alaska
American Samoa
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
District of Columbia
Florida
Georgia
Guam
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Northern Mariana Islands
Ohio
Oklahoma
Oregon
Pennsylvania
Puerto Rico
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
U.S. Virgin Islands
Vermont
Virginia
Washington
West Virginia
Wisconsin
Wyoming
Armed Forces Americas
Armed Forces Europe
Armed Forces Pacific
State
ZIP Code
Billing Address
Name
*
Phone
*
Billing Address
Street Address
Address Line 2
City
Alabama
Alaska
American Samoa
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
District of Columbia
Florida
Georgia
Guam
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Northern Mariana Islands
Ohio
Oklahoma
Oregon
Pennsylvania
Puerto Rico
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
U.S. Virgin Islands
Vermont
Virginia
Washington
West Virginia
Wisconsin
Wyoming
Armed Forces Americas
Armed Forces Europe
Armed Forces Pacific
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
Alabama
Alaska
American Samoa
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
District of Columbia
Florida
Georgia
Guam
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Northern Mariana Islands
Ohio
Oklahoma
Oregon
Pennsylvania
Puerto Rico
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
U.S. Virgin Islands
Vermont
Virginia
Washington
West Virginia
Wisconsin
Wyoming
Armed Forces Americas
Armed Forces Europe
Armed Forces Pacific
State
ZIP Code
Hidden
Section Break
Upholstery Flat Rate Cost
Price:
Total
$0.00
You will be redirected to PayPal once you click submit