Furniture Gallery Order Form
• Our Delivery Area is a 300 Mile Radius of Our Lewes, Delaware Store Location • * Note: Please call 1-888-808-6104 or E-Mail us to inquire about wood types before completing this form, printing it out, and mailing it to us or calling us with your order. SHIP TO: Name ______________________________________________________________ Address ____________________________________________________________ City __________________________________________ State ___ Zip __________ Phone Number (Important) _________________________________ E-Mail Address (Important) ________________________________ * Your phone number and e-mail address will be used to confirm your order or clarify questions we may have about your order. BILL TO: (If other than Ship To) Name ______________________________________________________________ Address ____________________________________________________________ City __________________________________________ State ___ Zip __________ Phone Number (Important) _________________________________ E-Mail Address (Important) ________________________________ * Your phone number and e-mail address will be used to confirm your order or clarify questions we may have about your order. Credit Card Information : Name (As it appears on your card)______________________________________________________________ Address ____________________________________________________________ City __________________________________________ State ___ Zip __________ V-code (last 3 digits on the back of your card after signature) __________________________ FINISHING: Unfinished Stained Painted Finish Description (Explain how you want piece finished)______________________________ ____________________________________________________________________________ ____________________________________________________________________________ ____________________________________________________________________________ Note about Finishes: If you would like to see color samples before ordering, please call us at 1-888-808-6104 or E-Mail us with your Name, Address and Phone Number. Better yet, if you will be in our area, stop by to see actual finished wood pieces in different colors.
* Shipping Note: Please call us at 1-888-808-6104 or E-Mail us for shipping costs before submitting order. Some items may be too large to economically ship out of our delivery area. If the item is going to be delivered on our company delivery truck, please print out and fill up the delivery form. Delivery Information (Please note that your delivery time is a two hour block, we try our best to be prompt but please note that circumstances do come up)
Your name: Your address: Nearest Cross Streets: Directions and special instructions: Contact Information (please note the best number to call): Home- Work- Mobile- E-mail Address: Site Information (please note selected location) Ground floor Upstairs # of flights (extra charge will be added) Downstairs # of flights (extra charge will be added) Be ready for delivery and move all obstacles for we will not move your existing furniture or electronics Customer Acknowledgement I acknowledge that I have read this information and fully understand the delivery process.
METHOD OF PAYMENT: Check VISA MasterCard Credit Card Name ___________________________________________________ Credit Card Number _________________________________________________ Credit Card Expiration Date ___________________________________________ Signature __________________________________________________________ EXCHANGES OR RETURNS: Exchanges or returns for STORE CREDIT ONLY on all unfinished merchandise. All merchandise must be in perfect condition and accompanied by a receipt. Custom finished, factory finished or special ordered merchandise is non-returnable. Returns are subject to a re-stocking fee or loss of deposit. |
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