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24/7 Chairs
Non 24/7 Seating
Conferences
Testimonials
About
Contact
Clearance
Catalog
Need help choosing your chairs? Fill out this form and we’ll get back to you.
Help Me Choose My Chairs and Request a Presentation
Please take a moment to introduce yourselves to us so that we may be able to better fit your needs.
Do you want to schedule an in-person chair presentation?
Yes, please!
No, thanks
Your Information
Name
(Required)
First
Last
Email
(Required)
Phone
Organization Information
Name of Organization
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
Phone Number of Organization
Fax Number of Organization
Director's Name
First
Last
Director's Email
Assistant Director's Name
First
Last
Assistant Director's Email
Purchase Information
When will be the earliest available time that you will be in the market to purchase chairs?
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Purchase Date
Demo date needed & how long will you need them?
Start Date
Month
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End Date
Month
1
2
3
4
5
6
7
8
9
10
11
12
Day
1
2
3
4
5
6
7
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18
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25
26
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28
29
30
31
Year
2024
2023
2022
2021
2020
2019
2018
2017
2016
2015
2014
2013
2012
2011
2010
2009
2008
2007
2006
2005
2004
2003
2002
2001
2000
1999
1998
1997
1996
1995
1994
1993
1992
1991
1990
1989
1988
1987
1986
1985
1984
1983
1982
1981
1980
1979
1978
1977
1976
1975
1974
1973
1972
1971
1970
1969
1968
1967
1966
1965
1964
1963
1962
1961
1960
1959
1958
1957
1956
1955
1954
1953
1952
1951
1950
1949
1948
1947
1946
1945
1944
1943
1942
1941
1940
1939
1938
1937
1936
1935
1934
1933
1932
1931
1930
1929
1928
1927
1926
1925
1924
1923
1922
1921
1920
What type of upholstery are you interested in for your ordered chairs?
Fabric
Vinyl
Leather
Mesh Back
Special Colors
Logos
Would you be interested in purchasing high back, medium back, low back seating?
High
Medium
Low
Number of seating dispatchers / employees
Of the seating dispatchers / employees, how many would fit into each category? Add weight if possible.
4' 10" - 5' 4" tall
Add Info
Number of Employees
Weight
5' 5" - 5' 11" tall
Add Info
Number of Employees
Weight
6' 0" - 6' 6" tall
Add Info
Number of Employees
Weight
6' 7" - 6' 10" tall
Add Info
Number of Employees
Weight
How many chairs will be bought after approval?
(Required)
How many different models will be bought?
(Required)
Does our pricing fit in your budget?
(Required)
Yes
No
Can you pay $200 for the demo freight cost?
(Required)
Yes
No
If you have any questions please feel free to email us or contact Max Miller at
336-964-5490
cell or
maxmiller@mawhp.com
Name
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