By Design Stitch-it Product Modification Request
ACCOUNT DETAILS
ACCOUNT NAME
ACCOUNT #
CITY
STATE
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Alabama
Alaska
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
District Of Columbia
Florida
Georgia
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
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Ohio
Oklahoma
Oregon
Pennsylvania
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
Vermont
Virginia
Washington
West Virginia
Wisconsin
Wyoming
Puerto Rico
Virgin Island
Northern Mariana Islands
Guam
American Samoa
Palau
Newfoundland and Labrador
Prince Edward Island
Nova Scotia
New Brunswick
Quebec
Ontario
Manitoba
Saskatchewan
Alberta
British Columbia
Yukon
Northwest Territories
Nunavut
ZIPCODE
COUNTRY
CONTACT INFORMATION
CONTACT NAME
CONTACT EMAIL
ADDITIONAL EMAIL ADDRESS
Limit 1 additional email
CONTACT PHONE
END USER
PROJECT SIZE
Please select...
Over $1.4mil
$700K - $1.4mil
$300K - $700K
$125K - $300K
$1 - $125K
Unknown
REQUEST TITLE
Please enter a title for this Modification Request. For example, "WaveWorks Worksurface Modification for Company XYZ".
x
KIMBALL INTERNATIONAL SALES REPRESENTATIVE
EXPECTED ORDER DATE
MODIFICATIONS
REFERENCE MODEL (40 CHARACTER LIMIT)
QUANTITY
PATTERN
Please select...
Horizontal
Vertical
Diagonal Left to Right (As Seated)
Diagonal Right to Left (As Seated)
Grid
Diamond Grid
STITCH SPACING
Please select...
3/4"
1-1/2"
3"
6"
STITCH
Please select...
Single Stitch
Double Stitch
THREAD COLOR
Please select...
NON-CONTRASTING/AA
BLACK 744Q/AN
BEAVER 745Q
NAVY 765Q/AJ
RED 757Q/AF
BROWN 756Q
DARK CLARET 788Q
CARAMEL 767Q
BEIGE 751Q/AC
DARK BROWN 758Q/AE
GRAPHITE 796Q/AM
TAUPE 752Q
SADDLE 793Q/AD
OPAL 795Q
TOBOGGAN 753Q
LIGHT BROWN 763Q
WHITE 721Q/AB
DARK JADE 781Q
WINE 787Q/AG
SLATE 772Q
SILVER 792Q/AL
CARAFE GREEN 783Q
LEAF 770Q
YALE BLUE 764Q
DARK GREEN 779Q/AK
ORANGE 755Q
MARINE 790Q/AH
SCARLET 766Q
-If non-contrasting, specify “non-contrasting” -If contrasting, specify thread color -Note: Specified thread color only applies to Stitch-it application
x
LOCATION
As a guide, please reference contrasting locations in the price list Example: Seat, Back, Extreme Back
x
FABRIC
Specify the Fabric to modified. If specifying an alliance fabric, please list Manufacturer, Fabric, and Color
x
GSA OR RELATED CONTRACT
ATTACHMENTS
To clearly define the product modification models above, it is strongly encouraged to attach the layout the requested product modification units will be used to this form. You can attach additional files to help with your modification request.
UPLOAD FILE
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