UP FRONT - DECOR TIME

WHOLESALE FAX ORDER FORM

Minimum Order $75

Item # Item Description Qty Price Item Total

Please Select your Shipping Option, Check an option below

Residential UPS Ground ____________
Residential UPS Next Day Air ________
Residential UPS 2nd Day Air _________
Residential UPS 3rd Day Air _________

Business UPS Ground _____________
Business UPS Next Day Air_________
Business UPS 2nd Day Air __________
Business UPS 3rd Day Air __________

Please note if order is being sent to your home address,
Residential Rates Apply

Order Total..
BILLING INFORMATION SHIPPING ADDRESS
Name

Company Name

Address

City

State

Zip Code

Country

Name

Company Name

Address

City

State

Zip Code

Country


CONTACT INFORMATION
Telephone
E-Mail Address

CREDIT CARD INFORMATION
Select Card Type
Card Holders Name
Account Number and Expiration Date


Please be sure the form information is correct and complete

Please Fax your order to 888-621-4981 or 916-383-8982

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