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: ____________________
_________________________________________
_________________________________________
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?
_________________________________________
_________________________________________
_________________________________________
_________________________________________
We will contact you within one business day of receiving your request.
