Workbench quote request form

2219 Agate Court, Simi Valley, California 93065 -1839
Phone: 805.527.1622 Facsimile: 805.527.2664

Workbench Quote Request Form

Select from the items below a basic work bench and any optional items you may require. Along with some information about who and where to send the quotation, click the submit button and within 48 hours you will receive a quotation.

Enter quantity: (required)

Workbench length: (required)

Workbench width: (required)

Workbench height: (required)

Inches
(If your selection is for a special height enter it here.)

Workbench mount: (required)
Leveler Caster

Worktop: (required)

Frame color: (required)

Footrest: (optional)

Shelf arrangement: (optional)

Front rail: (optional)

Back panel arrangement: (optional)

Drawer arrangement: (optional)
(For type and configuration arrangements click the drawer link.)

Drawer quantity: (required with drawer option)

Drawer location: (required for drawer option)
Left Right Center Left and Right

Personnel grounding items: (optional)

Enter any additional features you may require:


First_name
Last_name
Title
Company
Address_1
Address_2
City
State
Zip code
Country
Phone
Extension
Facsimile
E-mail
URL

Copyright © 2007 Pure Aire Corporation. All rights reserved. Information in this document is subject to change without notice. Other products and companies referred to herein are trademarks or registered trademarks of their respective companies or mark holders.

Last modified: January 08, 2007