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
CELL:
SHIP TO ADDRESS: TEL:
CELL:
EMAIL: END USER’S NAME:
W
ADDRESS: TEL:
CELL:
EMAIL: L
PO#:
SIDEMARK: COST P/SQ.FT: $0.00
C ~ COLOR SAME AS SAMPLE; Color reference#s:
OR
RUG COST:
$0.00
PAD:
$0.00
LABOR:
$0.00
FREIGHT:
$0.00
TOTAL:
$0.00
DEPOSIT:
$0.00
BALANCE:
$0.00
TOTAL SQ.FT: 0.00
CUSTOM; Color reference#s: 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.
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245 Central Avenue South, Bethpage, NY 11714 • 800.538.1880 • Fax 516.293.1734 • Brunschwig.com