floor Chair - email form

Using the graphic forms for this piece of equipment, fill in the necessary measurements and information below, and simply "Submit" it to us.  If you have any questions, feel free to call or email us. We will be in touch.

Please complete the form below

Your Name *
Your Name
Client's Name *
Client's Name
Seat to top of shoulder
Seat to armpit
Seat to 90 degree elbow
Floor to back of knee
Seat back to back of knee
Foot length
Seat to top of thigh
Belly circumference
Desired width of chair
First and Second choice of color
Also...
Anything else you want us to know