Hill DT Upholstery Order

To view product pricing, you must select a vinyl color below before products will appear.

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Dynamic Population URL

This field does not show up for customers. It is strictly for employee use.

You can fill out the form fields listed here & then click in this box to generate a link to send a customer that opens a pre-filled form with your selections. Fields that you can fill out & send using the link:

Name
Email
Phone
Payment Method
Serial number
Table layout
Vinyl type
Vinyl color
Table width
Any cushion, cover, or option
Order notes

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User Role

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User ID

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User display name & email

Please log in to save your order history, use saved payment methods, view any available discounts, and more. If you do not have an account, create one here.

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Looking for your quote?

Find your account quote history here.
Only quotes generated while logged into your account will be visible.

Order ID

Name*

First Last

Email*

Phone*

Shipping Address*

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

Payment method*

Credit card purchase: Select this option to place an order and pay with your credit card. We are no longer accepting purchase orders with Net 30 terms and all orders must be placed using this option.

Create a quote only: Select this option to build a quote that will be emailed to you. No payment is required and no order will be placed.

Credit card purchase

Create a quote only (no payment required)

PO Number

A purchase order (PO) number is not required but can be provided as a reference.

Upload PO

If you have a copy of the PO, please upload it here.

Drop files here or

Max. file size: 50 MB, Max. files: 1.

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Bill To:

For example, your Hill dealer account or a hospital name.

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Billing Address

Same as shipping address?

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Billing Address

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

Serial Number*

You'll find it on the front of the base skirting of your Hill table or chair.

IMPORTANT: For tables manufactured before the year 2000 (generally serial numbers that begin with 87 through 99), we may require additional information from you when ordering full cushions instead of covers only. We will reach out via email once your order is placed if we require additional measurements or pictures.

Do you have a picture of your table?

Each order is checked for accuracy based on your specific table, so providing a picture will expedite the process of activating your order.

Drop files here or

Max. file size: 50 MB, Max. files: 5.

Matching original color?

Are you matching your original color or getting a new color?

Matching my original color

Getting a new color

Vinyl color*

Click to view all color options.

Head

Thoracic

Pelvic

Foot

Flexi Strap Covers

Pelvic Top Pad

Folding Pillow

Flexion Stool Top

Order notes

For example, do you want a different foam density on any of your cushions? Does your table have a custom feature we should know about?

PA Sales Tax Exempt

Check this box if you are exempt from Pennsylvania sales tax. If you check this box, we may reach out & require proof of exemption. If you are not exempt and you check this box, your order will be cancelled.

Yes, I am exempt from Pennsylvania sales tax

Coupon or Discount Code

Total

Pennsylvania Sales Tax

$0.00

List price total

This is the customer total price.

The "next" button will appear after you completely fill out your shipping address and table options.