Health Club Order Form

Complete the form below to submit a work request. If you need something beyond what the form provides, contact us today.

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- Step 1 of 4

Contact / Account Information

Business / Organization Name *

Requested By *

First

Last

Address *

City *

State *

Zip

Mobile *

Other

Email *

Save and Resume Later

GETTING STARTED

To help us make the ordering process easier, we need to know a couple of things first.

Do any of these pads need to change color? *

Vinyl Color

Does your club number or letter the equipment?

How many pads do you need done?

Selected Value: 1

Save and Resume Later

WORK ITEMS

After entering your items, scroll to the bottom of the page and hit next to continue.

Item 1

Number or Letter

Manufacturer

Life Fitness, Precor, Cybex, etc

Equipment Name

Arm Curl, Flat Bench, Leg Curl

Type of pad

Arm, Seat, Back, Thigh, Shoulder, etc

Manufacturer

Life Fitness, Precor, Cybex, etc

Equipment Name

Arm Curl, Flat Bench, Leg Curl

Type of pad

Arm, Seat, Back, Thigh, Shoulder, etc

Please select the quantities needed

Slip Cover

Full Pad

Back of Pad

Vinyl Color

File Upload

Drag & Drop Files, Choose Files to Upload

Item 2

Number or Letter

Manufacturer

Life Fitness, Precor, Cybex, etc

Equipment Name

Arm Curl, Flat Bench, Leg Curl

Type of pad

Arm, Seat, Back, Thigh, Shoulder, etc

Manufacturer

Life Fitness, Precor, Cybex, etc

Equipment Name

Arm Curl, Flat Bench, Leg Curl

Type of Pad

Arm, Seat, Back, Thigh, Shoulder, etc

Please select the quantities needed

Slip Cover

Full Pad

Back of Pad

Vinyl Color

File Upload

Drag & Drop Files, Choose Files to Upload

Item 3

Number or Letter

Manufacturer

Life Fitness, Precor, Cybex, etc

Equipment Name

Arm Curl, Flat Bench, Leg Curl

Type of Pad

Arm, Seat, Back, Thigh, Shoulder, etc

Manufacturer

Life Fitness, Precor, Cybex, etc

Equipment Name

Arm Curl, Flat Bench, Leg Curl

Type of Pad

Arm, Seat, Back, Thigh, Shoulder, etc

Please select the quantities needed

Slip Cover

Full Pad

Back of Pad

Vinyl Color

File Upload

Drag & Drop Files, Choose Files to Upload

Item 4

Item Pad

Number or Letter

Manufacturer

Life Fitness, Precor, Cybex, etc

Equipment Name

Arm Curl, Flat Bench, Leg Curl

Type of Pad

Arm, Seat, Back, Thigh, Shoulder, etc

Manufacturer

Life Fitness, Precor, Cybex, etc

Equipment Name

Arm Curl, Flat Bench, Leg Curl

Type of Pad

Arm, Seat, Back, Thigh, Shoulder, etc

Please select the quantities needed

Slip Cover

Full Pad

Back of Pad

Vinyl Color

File Upload

Drag & Drop Files, Choose Files to Upload

Item 5

Number or Letter

Manufacturer

Life Fitness, Precor, Cybex, etc

Equipment Name

Arm Curl, Flat Bench, Leg Curl

Type of Pad

Arm, Seat, Back, Thigh, Shoulder, etc

Manufacturer

Life Fitness, Precor, Cybex, etc

Equipment Name

Arm Curl, Flat Bench, Leg Curl

Type of Pad

Arm, Seat, Back, Thigh, Shoulder, etc

Please select the quantities needed

Slip Cover

Full Pad

Back of Pad

Vinyl Color

File Upload

Drag & Drop Files, Choose Files to Upload

Item 6

Number or Letter

Manufacturer

Life Fitness, Precor, Cybex, etc

Equipment Name

Arm Curl, Flat Bench, Leg Curl

Type of Pad

Arm, Seat, Back, Thigh, Shoulder, etc

Manufacturer

Life Fitness, Precor, Cybex, etc

Equipment Name

Arm Curl, Flat Bench, Leg Curl

Type of Pad

Arm, Seat, Back, Thigh, Shoulder, etc

Please select the quantities needed

Slip Cover

Full Pad

Back of Pad

Vinyl Color

File Upload

Drag & Drop Files, Choose Files to Upload

Item 7

Number or Letter

Manufacturer

Life Fitness, Precor, Cybex, etc

Equipment Name

Arm Curl, Flat Bench, Leg Curl

Type of Pad

Arm, Seat, Back, Thigh, Shoulder, etc

Manufacturer

Life Fitness, Precor, Cybex, etc

Equipment Name

Arm Curl, Flat Bench, Leg Curl

Type of Pad

Arm, Seat, Back, Thigh, Shoulder, etc

Please select the quantities needed

Slip Cover

Full Pad

Back of Pad

Vinyl Color

File Upload

Drag & Drop Files, Choose Files to Upload

Item 8

Number or Letter

Manufacturer

Life Fitness, Precor, Cybex, etc

Equipment Name

Arm Curl, Flat Bench, Leg Curl

Type of Pad

Arm, Seat, Back, Thigh, Shoulder, etc

Manufacturer

Life Fitness, Precor, Cybex, etc

Equipment Name

Arm Curl, Flat Bench, Leg Curl

Type of Pad

Arm, Seat, Back, Thigh, Shoulder, etc

Please select the quantities needed

Slip Cover

Full Pad

Back of Pad

Vinyl Color

File Upload

Drag & Drop Files, Choose Files to Upload

Item 9

Number or Letter

Manufacturer

Life Fitness, Precor, Cybex, etc

Equipment Name

Arm Curl, Flat Bench, Leg Curl

Type of Pad

Arm, Seat, Back, Thigh, Shoulder, etc

Manufacturer

Life Fitness, Precor, Cybex, etc

Equipment Name

Arm Curl, Flat Bench, Leg Curl

Type of Pad

Arm, Seat, Back, Thigh, Shoulder, etc

Please select the quantities needed

Slip Cover

Full Pad

Back of Pad

Vinyl Color

File Upload

Drag & Drop Files, Choose Files to Upload

Item 10

Number or Letter

Manufacturer

Life Fitness, Precor, Cybex, etc

Equipment Name

Arm Curl, Flat Bench, Leg Curl

Type of Pad

Arm, Seat, Back, Thigh, Shoulder, etc

Manufacturer

Life Fitness, Precor, Cybex, etc

Equipment Name

Arm Curl, Flat Bench, Leg Curl

Type of Pad

Arm, Seat, Back, Thigh, Shoulder, etc

Please select the quantities needed

Slip Cover

Full Pad

Back of Pad

Vinyl Color

File Upload

Drag & Drop Files, Choose Files to Upload

Item 11

Number or Letter

Manufacturer

Life Fitness, Precor, Cybex, etc

Equipment Name

Arm Curl, Flat Bench, Leg Curl

Type of Pad

Arm, Seat, Back, Thigh, Shoulder, etc

Manufacturer

Life Fitness, Precor, Cybex, etc

Equipment Name

Arm Curl, Flat Bench, Leg Curl

Type of Pad

Arm, Seat, Back, Thigh, Shoulder, etc

Please select the quantities needed

Slip Cover

Full Pad

Back of Pad

Vinyl Color

File Upload

Drag & Drop Files, Choose Files to Upload

Item 12

Number or Letter

Manufacturer

Life Fitness, Precor, Cybex, etc

Equipment Name

Arm Curl, Flat Bench, Leg Curl

Type of Pad

Arm, Seat, Back, Thigh, Shoulder, etc

Manufacturer

Life Fitness, Precor, Cybex, etc

Equipment Name

Arm Curl, Flat Bench, Leg Curl

Type of Pad

Arm, Seat, Back, Thigh, Shoulder, etc

Please select the quantities needed

Slip Cover

Full Pad

Back of Pad

Vinyl Color

File Upload

Drag & Drop Files, Choose Files to Upload

Item 13

Number or Letter

Manufacturer

Life Fitness, Precor, Cybex, etc

Equipment Name

Arm Curl, Flat Bench, Leg Curl

Type of Pad

Arm, Seat, Back, Thigh, Shoulder, etc

Manufacturer

Life Fitness, Precor, Cybex, etc

Equipment Name

Arm Curl, Flat Bench, Leg Curl

Type of Pad

Arm, Seat, Back, Thigh, Shoulder, etc

Please select the quantities needed

Slip Cover

Full Pad

Back of Pad

Vinyl Color

File Upload

Drag & Drop Files, Choose Files to Upload

Item 14

Number or Letter

Manufacturer

Life Fitness, Precor, Cybex, etc

Equipment Name

Arm Curl, Flat Bench, Leg Curl

Type of Pad

Arm, Seat, Back, Thigh, Shoulder, etc

Manufacturer

Life Fitness, Precor, Cybex, etc

Equipment Name

Arm Curl, Flat Bench, Leg Curl

Type of Pad

Arm, Seat, Back, Thigh, Shoulder, etc

Please select the quantities needed

Slip Cover

Full Pad

Back of Pad

Vinyl Color

File Upload

Drag & Drop Files, Choose Files to Upload

Item 15

Number or Letter

Manufacturer

Life Fitness, Precor, Cybex, etc

Equipment Name

Arm Curl, Flat Bench, Leg Curl

Type of Pad

Arm, Seat, Back, Thigh, Shoulder, etc

Manufacturer

Life Fitness, Precor, Cybex, etc

Equipment Name

Arm Curl, Flat Bench, Leg Curl

Type of Pad

Arm, Seat, Back, Thigh, Shoulder, etc

Please select the quantities needed

Slip Cover

Full Pad

Back of Pad

Vinyl Color

File Upload

Drag & Drop Files, Choose Files to Upload

Item 16

Number or Letter

Manufacturer

Life Fitness, Precor, Cybex, etc

Equipment Name

Arm Curl, Flat Bench, Leg Curl

Type of Pad

Arm, Seat, Back, Thigh, Shoulder, etc

Manufacturer

Life Fitness, Precor, Cybex, etc

Equipment Name

Arm Curl, Flat Bench, Leg Curl

Type of Pad

Arm, Seat, Back, Thigh, Shoulder, etc

Please select the quantities needed

Slip Cover

Full Pad

Back of Pad

Vinyl Color

File Upload

Drag & Drop Files, Choose Files to Upload

Item 17

Number or Letter

Manufacturer

Life Fitness, Precor, Cybex, etc

Equipment Name

Arm Curl, Flat Bench, Leg Curl

Type of Pad

Arm, Seat, Back, Thigh, Shoulder, etc

Manufacturer

Life Fitness, Precor, Cybex, etc

Equipment Name

Arm Curl, Flat Bench, Leg Curl

Type of Pad

Arm, Seat, Back, Thigh, Shoulder, etc

Please select the quantities needed

Slip Cover

Full Pad

Back of Pad

Vinyl Color

File Upload

Drag & Drop Files, Choose Files to Upload

Item 18

Number or Letter

Manufacturer

Life Fitness, Precor, Cybex, etc

Equipment Name

Arm Curl, Flat Bench, Leg Curl

Type of Pad

Arm, Seat, Back, Thigh, Shoulder, etc

Manufacturer

Life Fitness, Precor, Cybex, etc

Equipment Name

Arm Curl, Flat Bench, Leg Curl

Type of Pad

Arm, Seat, Back, Thigh, Shoulder, etc

Please select the quantities needed

Slip Cover

Full Pad

Back of Pad

Vinyl Color

File Upload

Drag & Drop Files, Choose Files to Upload

Item 19

Number or Letter

Manufacturer

Life Fitness, Precor, Cybex, etc

Equipment Name

Arm Curl, Flat Bench, Leg Curl

Type of Pad

Arm, Seat, Back, Thigh, Shoulder, etc

Manufacturer

Life Fitness, Precor, Cybex, etc

Equipment Name

Arm Curl, Flat Bench, Leg Curl

Type of Pad

Arm, Seat, Back, Thigh, Shoulder, etc

Please select the quantities needed

Slip Cover

Full Pad

Back of Pad

Vinyl Color

File Upload

Drag & Drop Files, Choose Files to Upload

Item 20

Number or Letter

Manufacturer

Life Fitness, Precor, Cybex, etc

Equipment Name

Arm Curl, Flat Bench, Leg Curl

Type of Pad

Arm, Seat, Back, Thigh, Shoulder, etc

Manufacturer

Life Fitness, Precor, Cybex, etc

Equipment Name

Arm Curl, Flat Bench, Leg Curl

Type of Pad

Arm, Seat, Back, Thigh, Shoulder, etc

Please select the quantities needed

Slip Cover

Full Pad

Back of Pad

Vinyl Color

File Upload

Drag & Drop Files, Choose Files to Upload

Save and Resume Later

NOTES

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Notes:

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Call Brodie Upholstery Today: 888-531-0488

Health Club Order Form

Contact / Account Information

GETTING STARTED

WORK ITEMS

Item 1

Item 2

Item 3

Item 4

Item 5

Item 6

Item 7

Item 8

Item 9

Item 10

Item 11

Item 12

Item 13

Item 14

Item 15

Item 16

Item 17

Item 18

Item 19

Item 20

NOTES