TERMS: Price quotes honored for 60 days. 50% deposit required on all orders. Balance due before delivery.
A ~ DESIGN & SHOWROOM INFORMATION
E ~ CLIENT INFORMATION
ORDER DATE:
ACCOUNT #:
DESIGN: Cozumel
DESIGNER NAME:
SHOWROOM:
ADDRESS:
SALES ASSOCIATE: TEL:
B ~ DIMENSIONS
CELL:
EMAIL: STANDARD SIZE: (CHOOSE ONE) SHIP TO ADDRESS: 3x5
4x6
5x8
6x9
8x10
9x12
10x14
11x16
12x15
12x18
TEL:
CELL:
EMAIL: CUSTOM SIZE:
WIDTH: __________ X LENGTH: ________ END USER’S NAME:
C ~ QUALITY (CHOOSE ONE) INDO
ADDRESS:
SINO TEL:
CELL:
EMAIL:
D ~ SPECIFICATIONS
CHOOSE ONE
HIGH TWIST (INDO ONLY)
LOOP PILE
CUT PILE
VISCOSE CUT ONLY
WOOL
COLOR
PO#:
SIDEMARK: COST P/SQ.FT: $0.00 RUG COST:
$0.00
PAD:
$0.00
LABOR:
$0.00
FREIGHT:
$0.00
TOTAL:
$0.00
DEPOSIT:
$0.00
BALANCE:
$0.00
CHOOSE ONE
A. GROUND B. DESIGN
TOTAL SQ.FT:0.00
CHECK #:
DATE:
AMEX
MASTERCARD
VISA
W
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 ___________________ A