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Ergonomic Workstation Questionnaire

Company Name:
Contact:     
Address:
City: State:
Zip Code:
Phone: Fax:
Email:
1.
Table Size: Height Width Depth
2. How Much weight does the table support?

3.

 What type of tabletop is required?
 
Brushed & Anodized Aluminium
Trespa  
Butcher Block Top
Powder Coated Steel 
4. Is this table portable? Yes No
5. If so what type of casters are needed:
 
Swivel Swivel/Locking Rigid
3" dia 4" dia 6" dia
6.

What type of environment will the table used in:

7. If table is fixed, what type of foot is required?
  L-Base Foot Adjustable Leveling Mount
8. If adjustable leveling mount:
  Thread Size Stud Size Damping Pad Needed
9. Does this table require an adjustable tabletop? Yes No
  Type of Crank: Manual/Electric Adjustment Height:
10.

Does table require an overhead light? Yes No Size:

11. Accessories:
  Keyboard Holder Mouse Holder Monitor Holder Shelves
  Footrest Part Bins/Holder Work Pad Power Stick
  Air Manifold Drawer Book/Paper Holders Backdrop
12. Additional Notes:
 
 

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Engineered Aluminum Fabricators, Co.
1530 Farrow Street  Ferndale, MI (Michigan) 48220
Tel: (248) 582-3430 • Fax: (248) 582-3435

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