Brunschwig_Custom_Size_Order_Form Bf Jd Staron General Order Form

: Bf Jd Staron General Order Form bf_jd_staron_general_order_form images 1328 p4dbimg

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Page Count: 1

ORDER DATE:

PATTERN:

ACCOUNT #:

QUALITY:

A ~ DESIGN & SHOWROOM INFORMATION

SIDEMARK:PO#:

COST P/SQ.FT:

PAD:

LABOR:

FREIGHT:

TOTAL:

DEPOSIT:

BALANCE:

E ~ CLIENT INFORMATION

CHECK #: DATE:

AMEX MASTERCARD VISA

CARD NUMBER:

EXP DATE:

NAME ON CARD:

SIGNATURE:

To expedite your order, you can pre-authorize to charge the balance to the

credit card information above. Please initial here ___________________

DESIGNER NAME:

EMAIL:

ADDRESS:

TEL: CELL:

EMAIL:

TEL: CELL:

SHIP TO ADDRESS:

END USER’S NAME:

ADDRESS:

EMAIL:

TEL: CELL:

TOTAL SQ.FT:

SALES ASSOCIATE:

WIDTH LENGTH

B ~ DIMENSIONS

X

W

L

D ~ SPECIAL INSTRUCTIONS

RUG COST:

Variations in color, texture, placement and irregular weaves are a natural

characteristic of hand made qualities and are

not considered manufacturing defects.

TERMS: Price quotes honored for 60 days. Balance due before delivery.

50% deposit required on all orders.

QUOTE STRIKE - OFF ORDER

STANDARD: 6x9 8x10 9x12 10x14

CUSTOM:

OR

C ~ COLOR

SAME AS SAMPLE; Color reference#s:

CUSTOM; Color reference#s:

OR

Custom orders require artwork renderings indicating colors and placement.

Please attach documents to this order form along with any references

for color match (i.e.; poms, pantone chips, fabric swatches, etc...)

COLLECTION:

CONTENT:

245 Central Avenue South, Bethpage, NY 11714 • 800.538.1880 • Fax 516.293.1734 • Brunschwig.com

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