First Name:
Last Name:
Company Name:
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City:
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E-mail address:
Preferred contact method:	<Please Select> email phone either phone or email OK
How did you hear about us?
Nature of this request	<Please Select> Restrapping Reslinging Refinishing New Furniture other
# of lounges:
type of lounges:	<Please Select> vinyl strap - side to side vinyl strap - crossweave fabric slings other
description:	<Please Select> Restrap only Refinish (recoat and restrap) Resling only Refinish (recoat and resling) New lounges with vinyl straps New lounges with slings other (describe below)
# of chairs:
type of chairs:	<Please Select> vinyl strap - side to side vinyl strap - crossweave fabric slings other
description:	<Please Select> Restrap only Refinish (recoat and restrap) New chairs with vinyl straps Resling only Refinish (recoat and resling) New chairs with slings other (describe below)
# of tables:
type of table tops:	<Please Select> fiberglass glass acrylic metal other
size of table tops:	<Please Select> 18 inch side table 24 inch side table 42 inch dining table 48 inch dining table other - specify below
other:
Please include any comments or questions:
type FUN in the block  to the right. (ALL CAPS):	to help us avoid spam

 

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