Product Customisation Form

This application is restricted to Eureka Furniture organization members only.

Please fill In all green highlighted Segments in this form before printing. Please pay particular attention to the orange section.

Date:

Salesperson:

Customer Name:

Closest SKU:

Customisation Type

Description of Customisation: (Length, Width, Height required)

Staff Acknowledgement

Customer approved Description of Customisation

Customer agree to pay a 50% non-refundable deposit.

Customer approved sketch (if applicable)

Sketch