Brunschwig_Order_Form Brunschwig Order Form
2016-10-20
: Brunschwig Order Form brunschwig_order_form images 1328 p4dbimg
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QUOTE STRIKE - OFF ORDER TERMS: Price quotes honored for 60 days. Balance due before delivery. 50% deposit required on all orders. A ~ DESIGN & SHOWROOM INFORMATION E ~ CLIENT INFORMATION ORDER DATE: ACCOUNT #: SALES ASSOCIATE: PATTERN: DESIGNER NAME: COLLECTION: ADDRESS: QUALITY: CONTENT: TEL: B ~ DIMENSIONS EMAIL: STANDARD: 6x9 8x10 9x12 10x14 OR CUSTOM: WIDTH X LENGTH W CELL: SHIP TO ADDRESS: TEL: CELL: EMAIL: END USER’S NAME: ADDRESS: TEL: CELL: EMAIL: L PO#: SIDEMARK: TOTAL SQ.FT: COST P/SQ.FT: RUG COST: 0 $ 0.00 PAD: LABOR: C ~ COLOR SAME AS SAMPLE; Color reference#s: FREIGHT: TOTAL: $ 0.00 DEPOSIT: OR BALANCE: CUSTOM; Color reference#s: $ 0.00 CHECK #: 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...) D ~ SPECIAL INSTRUCTIONS AMEX DATE: 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 ___________________ Variations in color, texture, placement and irregular weaves are a natural characteristic of hand made qualities and are not considered manufacturing defects. 245 Central Avenue South, Bethpage, NY 11714 • 800.538.1880 • Fax 516.293.1734 • Brunschwig.com
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