UNITED CHAIR > PriceList > USA > 09.2022

USA – SEPTEMBER 2022 33 All information below needs to be supplied in order to process your request and one (1) yard of the fabric must be sent. Additional material may be requested. Please include this form and a Cal-117 certification (if applicable) to all test requests. If fabric is reversible, please indicate up side with a color swatch. Remember that fabric (C.O.M.) is priced at grade 2 and vinyl (C.O.V.) is priced at grade 3 . Contact the C.O.M. coordinator with any questions. Please send this form to COM-Info@groupelacasse.com . General information Date of request Ship one (1) yard of the selected upholstery to one of the following address For all other United Chair and Arold products: Attention: C.O.M. Testing Groupe Lacasse 175 Saint-Pierre Saint-Pie, QC J0H 1W0 Canada Customer name Contact person Phone # E-mail address For internal use only Tracking # Date Textile information Results Test # Passed Failed Supplier Pattern name Pattern # Color 1. 2. 3. 4. 5. For internal use only Other comments Please check Orientation Reversible fabric? Is fabric Cal-117? Backer type Fabric Vinyl Off the roll Railroaded Yes No Yes No (If applicable) 1. 2. 3. 4. 5. CUSTOM FABRIC FORM

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