Curve Order Form
Partner Details
Surveyor or Partner Contact Name
Date
Partner Order Reference
Partner Business Name
Fulfilment Method
Delivery
Collection
Install Only
Install & Maintenance
Delivery Address
Postcode
Telephone
User and Usage
Estimate number of trips per day (Optional)
Ensure all measurements are entered in millimetres.
1m = 1000mm.
A
mm
B
mm
C
mm
D
mm
Weight
kg
Height
mm
Disability/Condition (Optional)
Product Options
Model
Platinum Curve (120kg/19st)
Platinum Curve Heavy Duty (160kg/25st)
Platinum Curve Rail Only (120kg/19st)
Platinum Curve Rail Only Heavy Duty (160kg/25st)
Seat Swivel Option
Manual
Power
Footrest Operation
Manual
Power
Seat Type
ERGO Standard
ERGO Plus
ERGO Space Saver
ERGO Plus Space Saver
Chair Configuration
Select control side (user side)
Left Hand
Right Hand
Rail Colour
RAL 9002 Standard
RAL Other
If other please specify:
Underfloor Heating
No
Yes - Lower Level
Yes - Upper Level
Upholstery Colour
Beige
Red
Blue
Grey
Rail Position on Staircase
Select rail position (from bottom of staircase looking up)
Left Hand External
Rail on outer wall
Right Hand Internal
Rail on inner wall
Left Hand Internal
Rail on inner wall
Right Hand External
Rail on outer wall
Extras
Additional Remote Quantity
Foot Covers
Yes
No
Wall Brackets
Yes
No
Intermediate Charge Points
Please mark any extra charge points on the drawing you provide.
1st
Charge Point Location - Step Number
Add Charge Point
Bottom of Staircase
Standard Start
Rail continues at same angle until reaches the floor.
Run on Start
Rail levels to run parallel with the floor.
A
mm
(Min 650mm)
B
mm
(Distance to obstruction)
52° Start / Drop Nose
Rail changes angle at the bottom for installations with limited space. (Min 320mm)
A
mm
(Distance to obstruction)
Wrap Start
Rail wraps around 90° or 180° at start. Can be combined with Run on Start.
Wrap Type
90°
180°
Other
If other, please specify angle:
Top of Staircase Rail Position
Standard Finish
Rail finishes at an angle allowing chair to swivel onto landing.
Run on Finish
Rail levels to run parallel with the floor.
A
mm
(Min 350mm)
B
mm
(Distance to obstruction)
Wrap Finish
Rail wraps around 90° or 180° at finish. Must be combined with Run on Finish.
Wrap Type
90°
180°
Other
If other, please specify angle:
Staircase Measurements
Survey Type
Manual
Digital
Number of Risers
1st Riser Height (a)
Vertical Height (b)
Horizontal Length (c)
Nose to Nose (d)
Angle (e)
Narrowest Width (f)
Stringer Width (g)
1st Flight
Number of Risers
1st Riser/Step Height (a)
mm
Vertical Height (b)
mm
Horizontal Length (c)
mm
Nose to Nose (d)
mm
Angle (e)
°
Narrowest Width (f)
mm
Stringer Width (g)
mm
Add Flight
Total Number of Risers
Number of risers in entire staircase
Total Height Measured
Staircase height from floor to top riser
mm
Measurements Validation
Pythagoras from previous measurements.
1st Flight
Calculated Nose to Nose (D)
mm
Average Rise
mm
Average Go/Tread
mm
Add Flight
Bulkhead Measurements
Overhead Height Restrictions
1st Riser
Height (H)
mm
Offset (O)
mm
Add Riser
Upload a Sketch/Drawing
All drawings and measurements assumed to be taken to stringer (unless specified).
Additional Information
Notes/Special Instructions (Optional)
I have read and agree to the
Terms and Conditions
and confirm that the information I have provided is accurate and complete.
Date