Please complete Order Form for each type of Captain Chair or sofa you would like to order. If there are changes between seats or seating styles, please complete one form per style. Bill To Customer # Company Name Address City State Zip Phone Email PO # Required Ship Date (Please allow 6 week lead time) Ship To (If Different) Name Address City State Zip Please complete based on the floor plan you would like to order. Chair Style Azure Benz Diablo Enzo Modena Maybach Volante Other Chair Other Vehicle Sprinter Transit ProMaster SUV (Escalade/Navigator) Other Vehicle Other Front Seat Recovers? Yes - DR Only Yes - PA Only Yes - DR & PA Set No next Material Options Material Soft Touch Vinyl Leather/Vinyl Combo All Leather Customer Supplied Frame/Foam Only Leather/Vinyl Combo - Face of the chair will be leather. Surrounding sides vinyl Insert Choose an Insert Austin Buff Vinyl Austin Sand Vinyl Austin Driftwood Vinyl Austin Blush Vinyl Austin Pecan Vinyl Austin Medium Neutral Vinyl Austin Ashes Vinyl Austin Platinum Vinyl Austin Medium Graphite Vinyl Austin Truffle Vinyl Austin Black Vinyl Vinyl Aberdeen Chamois Vinyl Aberdeen Doeskin Vinyl Aberdeen Buckskin Vinyl Aberdeen Fawn Vinyl Aberdeen Lasso Vinyl Aberdeen Latte Vinyl Aberdeen Chocolate Vinyl Aberdeen Medium Alabaster Vinyl Aberdeen Pumice Vinyl Aberdeen Merlot Vinyl Aberdeen Pewter Vinyl Aberdeen Steerhide Vinyl Monterey Light Tan Vinyl Monterey Medium Tan Vinyl Monterey Dark Tan Vinyl Monterey Light Camano Gray Vinyl Monterey Medium Flint Vinyl Monterey Medium Gray Vinyl Monterey Medium Camano Gray Vinyl Monterey Dark Camano Gray Vinyl Monterey Gray Vinyl Monterey Black Vinyl Monterey Light Tan Leather Monterey Medium Tan Leather Monterey Dark Tan Leather Monterey Light Camano Gray Leather Monterey Medium Flint Leather Monterey Medium Gray Leather Monterey Medium Camano Gray Leather Monterey Dark Camano Gray Leather Monterey Gray Leather Monterey Black Leather Special Order Color Insert Color Special Order Perforation No Perf Perf Standard Perf Mini NOTE: If Cool Comfort Control is selected a perforated insert is required. Surround Choose a Surround Austin Buff Vinyl Austin Sand Vinyl Austin Driftwood Vinyl Austin Blush Vinyl Austin Pecan Vinyl Austin Medium Neutral Vinyl Austin Ashes Vinyl Austin Platinum Vinyl Austin Medium Graphite Vinyl Austin Truffle Vinyl Austin Black Vinyl Vinyl Aberdeen Chamois Vinyl Aberdeen Doeskin Vinyl Aberdeen Buckskin Vinyl Aberdeen Fawn Vinyl Aberdeen Lasso Vinyl Aberdeen Latte Vinyl Aberdeen Chocolate Vinyl Aberdeen Medium Alabaster Vinyl Aberdeen Pumice Vinyl Aberdeen Merlot Vinyl Aberdeen Pewter Vinyl Aberdeen Steerhide Vinyl Monterey Light Tan Vinyl Monterey Medium Tan Vinyl Monterey Dark Tan Vinyl Monterey Light Camano Gray Vinyl Monterey Medium Flint Vinyl Monterey Medium Gray Vinyl Monterey Medium Camano Gray Vinyl Monterey Dark Camano Gray Vinyl Monterey Gray Vinyl Monterey Black Vinyl Monterey Light Tan Leather Monterey Medium Tan Leather Monterey Dark Tan Leather Monterey Light Camano Gray Leather Monterey Medium Flint Leather Monterey Medium Gray Leather Monterey Medium Camano Gray Leather Monterey Dark Camano Gray Leather Monterey Gray Leather Monterey Black Leather Special Order Color Surround Color Special Order Surround Stitching Single Needle Double Needle Welt/Piping Welt Color Mono Tone Contrast Color Special Request Welt Contrast Color and Special Request Thread Color Mono Tone Contrast Color Special Request Thread Contrast Color and/or Special Request back next Options Seat 1 & 2 Seat Frame Power Recline Manual Recline Power Control Switch Options Mounted Loose Headrest Power Manual Seat Belt (3 PT Integrated) Black Tan Brown Grey Charcoal Special Request Seat Belt Special Request Arm Rests Wall Aisle Dual None Arm Mounting Mounted Loose Power Leg Lift Scissor Lift Concealed Lift None Power Base 6 Way Power Base No Power Base The six-way base powers the chair forward/rearward, up/down, and tilt. Pedestal 6.5 inch fixed 6.5 inch swivel 10 inch fixed 10 inch swivel None We suggest a 6in. pedestal with a 6 way power base. For all other chairs we recommend a 10in. pedestal. Manual Slide Tracks Yes No Manual Slide Tracks not available if you have chosen Power Leg Lift. Lumbar Options Power Lumbar Manual Lumbar None Comfort Controls Heat w/Switch Cool w/Switch Massage w/Switch Heat/Cool Switch Heat/Massage Switch Cool/Massage Switch Heat/Cool/Massage w/Switch Heat/Cool/Massage w/Wand NOTE: If Cool Comfort Control is selected a perforated insert is required. Extras Seat 1 & 2 Child Locks (CSRS Child Safety Restraint Systems) Yes No Do You Want Logos on the Headrest (Click Here to Upload Your Logo) back next Sew Style Match Chairs on Order Azure Bentley Diablo Enzo Modena Sofa Length 56 inches 65 inches Special Request Sofa Special Request Sofa Base Switches Mounted Loose Sofa Base Bi-Fold Tri-Fold with Dual Power Switches Tri-Way Bench Base Power Single Power Dual Power Manual Passenger Chair 1 2 3 Options Manual Power ADA Compliant Headrest None 1 2 3 Arm Rests Dual Arms No Arms Center Fold Out Yes with No Cup Holders Yes with 2 Cup Holders No CFO Seat Belt Style 2 PT Lap Belts 3 PT Lap Belts 2 x 3 PT Lap Belts / 1 x 2 PT Center No Belts Quantity 1 2 3 Seat Belt Color Black Tan Brown Grey Charcoal Special Request Seat Belt Special Request Logos on Headrest (Click Here to Upoad Your Logo) back next Please note any information needed for the build order here (1000 chars left) back submit Thank you for your order. A customer service representative will be in contact shortly to discuss payment arrangements, shipping options and your total cost. Customer Service is available Monday through Friday from 9:00AM EST to 6PM EST. Please call 1-855-PRODUCTS if you have any questions. Order Another Chair? or Return Home Files submitted, sending form data now. Please do not abort!Please turn on javascript to submit your data. Thank you!
