Product Customisation Form

This application is restricted to Eureka Furniture organization members only.

* = required before you can Print or Email the form.

Please fill in all green highlighted segments before printing. Please pay particular attention to the orange section.

Date:

Salesperson: *

Customer Name: *

Closest SKU: *

Must be a customisable SKU from the list.

Customisation Type *

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

Staff Acknowledgement *

Tick the two statements marked * before Print or Email.

Customer approved Description of Customisation *

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

Customer approved sketch (if applicable) (optional)

Sketch (optional — draw with mouse or touch, or print and draw by hand)

Click and drag to draw.