Please fill out this form as best you can and fax to us along with any drawings, floor plans or diagrams.

1. Cubicle Order Form

Your Name: _____________________

Your Phone: _____________________

Company Name: ______________________

Company Address: _____________________

City, State, Zip: _______________________

Date Needed by: ____________________

Install Location is (select one)
( ) Ground Floor or Elevator
( ) Up or down stairs (how many: ____ )

Floor Plan (or sketch) attached
( ) Yes
( ) No

If No, please indicate approximate room size available for cubicles.

Room 1: ____ feet by ____ feet

Room 2: ____ feet by ____ feet

Room 3: ____ feet by ____ feet

Attach additional pages if necessary or append a floor diagram

2. Cubicle Design Plan

Number of Workstations Needed: _____

Desired Arrangement (check all that apply)
[ ] All in one line against a common wall
[ ] Freestanding in middle of room facing each other
[ ] Freestanding in middle of room facing empty side

Approximate Height of Partitions: _____ inches

Approximate Width & Depth of Cubicles: ____ feet by ____ feet

3. Worksurface Design Plan

Desired Worksurface Configuration (check any that apply)
[ ] Simple Rectangular Surface
[ ] L-Shape Rectangular Unit
[ ] L-Shape Corner Unit
[ ] U-Shape Rectangular Unit
[ ] Other, please describe: ____________________

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4. Storage Design Plan

Drawers required?
( ) None
( ) File Drawers only
( ) Small Drawers only
( ) Both File and Small Drawers

Overhead storage required (Qty per cubicle)?
( ) None
( ) Overhead Shelf (Qty ___)
( ) Flipper Storage (Qty ___)

5. Complete!

Anything else you'd like to let us know?

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We will contact you within one business day of receiving your request.

Labels: budget cubicles, installation, office cubicles