Company name*

Your name*

Phone*

E-mail*

Order number*

Project / End client

Order line*

If the case concerns an office chair, we need the supplier's order number.
If the case is an electric stand, we need the serial number.

Article number

Description of the problem and what is wrong.*

Include up to 4 photos (2MB size limit per picture)

photo #1

photo #2

photo #3

photo #4

Include up to 2 mail (2MB size limit per mail)

Mail #1

Mail #2