Chair Trial Request Form

Information pertinent to the employee's condition can be entered in Message Field. This information will assist in ensuring that the correct chair has been selected for the client and avoid a subsequent call-out fee to exchange incorrect chairs.

The trial period is for 5 working days. At the end of this period Office MASTER require a confirmation of order . The chair will be collected after this 5 day period unless Office MASTER are advised otherwise.

Rehabilitation Providers Please Note:

Ergorap series Client Guidelines

Chair Style Client Height

FEMALE

ER600 153cm to 170cm 5 ft to 5 ft 7

ER700 170cm to 188cm 5 ft 7 to 6 ft 2

ER800 190cm Plus 6 ft 2 Plus

Or Up to 120 kgs

MALE

ER600 153cm to 173cm 5 ft top 5 ft 8

ER700 175cm to 190cm 5 ft 9 to 6 ft 3

ER800 193cm Plus 6 ft 2 Plus

OR up to 120 kgs

The Ergorap Series are available in a range of chairs to suit a number of differing Client Criteria.
It is very important that the correct chair is ordered for the client and meets their criteria.
Choosing the wrong chair can cause discomfort to your client and will not correct any existing issues.
Please ensure that you are familiar with ALL the features of each chair and that the chair will meet the Clients requirements in relation to height, build and existing condition.
While the initial call out and delivery of any trial chair is at no charge, if it is found that the incorrect product has been ordered requiring a second call out then our standard fee of $100 + GST will apply to the second and subsequent call outs. This charge covers delivery and client set-up time. This amount will be invoiced to the supplied purchasing address.

Fields marked with*are required

Name :	*
Email Address :	*
Rehab Provider Company :
Rehab Provider Address :
Rehab Provider Phone # :
Client Company Name :
Company / Delivery Addr :
Purchasing Organisation :
Purchase Order Contact :
Purchasing Mail Address :
Purchasing Phone # :
Employee Name :
Employee Contact Phone :
Chair Style required :
Existing Desk Height :
Message :
Type captcha: