Other Content

Please complete the warranty claim form. You will need to supply us with an approximate date of purchase, the product code from
your purchase & the location you purchased the product from.
SIZE OF CHAIRMAT :
SHAPE, APPLICATION & MATERIAL OF CHAIRMAT :
30" x 47"
PVC:
35" x 47" Polycarbonate:
36" x 48" RPET:
48" x 48"
Low Pile Carpet:
39" x 49" Standard Pile Carpet:
45" x 53" Medium Pile Carpet:
48" x 53"
Plush Pile Carpet:
46" x 60"
Smooth Hard Floor:
48" x 60"
Anti-Slip Hard Floor:
48" x 79" Lipped:
48" x 118"
Contoured:
60" x 60"
Rectangular:
60" x 79" Triangular:
60" x 118"
O
ther (Specify):
Reason for Replacement Comments:(Please check all that apply)
Damaged:
Cracked:
Chipped:
Broken:
Shattered:
Other (Specify):
Desktex : Floortex Model Number:
Reason for
Replacement:
Doortex : Floortex Model Number:
Reason for
Replacement:
Shipping charges will apply to most warranty replacements. Upon approval of your claim, a Customer Service representative
will contact you to arrange payment of shipping charges.
USA • LLC
US Warranty Claim Form
CONTACT INFORMATION / PRODUCT PURCHASE INFORMATION
Name:
Company:
Address:
City:
State:
Zip:
Daytime Phone:
Fax:
Email:
Date of Purchase:
Product Code:
Place of Purchase:
www.floortex.com
CHAIRMAT
FLOORTEX PRODUCT REFERENCE NUMBER
PLEASE COMPLETE FORM AND SEND TO:
OR FAX TO:
[e-mail]
615 225 9801
®
s o l u t i o n s
38" x 39"
Enhanced Polymer:
9 Sided: