FORM

rev. 07.28.2016 ©2016 HAUSMANN INDUSTRIES, INC.
PRO-OPTIONS TABLE CONFIGURATION FORM
1. Choose your cabinet style:
2. Choose your top options:
3. Customize your compartments with any of the following options:
 Flat Top (standard)
 A961 - Elevating Split Legs
 69 - Gas Spring Backrest, 0° to
75°, 400 lbs. weight capacity
 Model A9075
Open Cabinet Both Sides
 Model A9078
Cabinet with Solid back
 99L Left Hand Table Option
*NOTES (for A9075 Open Cabinet Table)
• Head section of table has offset support
(not open pass-thru compartment – only
option available is A962 Double Doors).
• If A965 or A966 Drawer option is
selected, opposite side will be solid panel.
1* 2 3
Head Foot
4 5 6*
1 2 3
3 2 1
Right Side
Model A9075: Options: Model A9078:
1.* ___________________________
2. ___________________________
3. ___________________________
4. ___________________________
5. ___________________________
6.* ___________________________
Foot Head
Left Side
Head Foot
Right Hand Table
(opposite side is solid panel)
Foot Head
99L - Left Hand Table
(opposite side is solid panel)
1. ____________________________
2. ____________________________
3. ____________________________
Choose laminate:
 346 Natural Oak
 5904 Wild Cherry
Choose Pro-Form™ vinyl color:
___________________________
See inside cover of PROTEAM catalog
A962 Double Doors
Includes (1) adjustable shelf
A963 Pass-Thru Modality Drawer
Includes (2) grommets for electrical cord
management - Model A9075 only
A964 Modality Drawer
Includes (2) grommets for electrical cord
management - Model A9078 only
A965 2-Drawers
Self-closing laminate drawer slides with
nylon rollers and positive stops
A966 3-Drawers
Self-closing laminate drawer slides with
nylon rollers and positive stops
Standard compartment
configuration is open with one
adjustable shelf
For A9075 Table, compartment 6
has fixed shelf.
If you require optional A945 Drawer Lock
and/or A946 (1) Lock/Bolt for Double
Doors, indicate on which compartment
they should be placed.
Dealer
Dealer PO#
Customer
HI Order#