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MilleratWork Seating
24/7 BEST SELLERS
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MilleratWork Seating
24/7 BEST SELLERS
Close-Out Inventory
About
FAQ
Testimonials
Conferences
Catalog
Contracts
GSA/MAS
TIPS
NC State/Alabama State
SC State Contract
Warranty
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.
Name
This field is for validation purposes and should be left unchanged.
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
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End Date
Month
Month
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Day
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2015
2014
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1971
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1961
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1953
1952
1951
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1949
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1945
1944
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1942
1941
1940
1939
1938
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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
If you have any questions please feel free to email us or contact Max Miller at
336-964-5490
cell or
maxmiller@mawhp.com
