
LEX32 Order Form
Date
AVFI Sales REP
Customer Signature
To generate your order form, please refer to the informa on provided below to insert the alphabe c and/or numeric code in the respec ve
category boxes. Please note that without this fi lled out Order Form, your purchase cannot be processed.
1
Product Model
2
Finish
3
Chargeable Accessories (One Code Per Box)
Quote No.
Customer No.
AVFI No.
OFFICE USE ONLY
Offi ce Use Only
4
Custom
Cutouts
LEX32
Product Model
1
Code LEX32
Choose Product Finish
2
Standard Finishes (Ships within 1-15 business days)
Code FMT
(Fusion Maple)
OpƟ onal Finishes (Ships within 20 business days)
HCT
CJTRCT
ART BRT CWT BAT SGT
Code CLT
(Clove)
ELT
Code EBT
(Ebony)
Chargeable Accessories (Check all that apply)
3
Code O0
Code D1
*
Code D2
*
Code D3
*
Code E1
Code E3
*
Code E4
*
Code E7
*
Code EA
*
Code EB
*
Code Q1
Cutout Required (Extra Charges will apply)
*
Comments (Please use this sec on to provide addi onal informa on)
No Accessories
MIC-18 MX418 S/C Microphone Qty______
LIGHT-18 Gooseneck Light Qty______
FM3 Timer/Clock Qty______
PB 6 Outlet Power Bar Qty______
CUB3 Round Cable Well Qty______
SF-PB3 3 Outlet Power Bar Qty______
PC-PATCH Power-Data Module Qty______
CUB4S Silver Power Panel Qty______
CUB4B Black Power Panel Qty______
LEV4AX4 4x Levelers for Non-Mobile Applica ons Qty______
_____________________________________________
_____________________________________________
_____________________________________________
_____________________________________________
_____________________________________________
_____________________________________________
_____________________________________________
Custom Cutout Op on (Extra charges will apply)
4
Please indicate custom cutout loca on on the drawing below
15 7/8” 4 1/2”
21”
3 3/8”
Code C0 No Custom Cutout
Code CC Custom Cutout (Specify on Cutout Area Above)
Cutout Area
Notes
CAD Drawings/Symbols
CAD drawings are available by request at sales@vegroup.net
Custom Cutouts
Es mated lead me within 20 business days from receipt of P.O. and signed drawings.
CustomizaƟ ons
Modifi ca ons to design such as shape and/or size varia ons have to be quoted on a per
case basis and are applicable for quan es of 10+ only.
www.video-furn.com
sales@video-furn.com 1-877-834-3876