Fax Order Form
Bill to Name: ________________________________
Bill to Address:_________________________ Bill to City, St, Zip:________________________
Bill to Telephone:________________ Email Address: __________________________
to Name: ________________________________
card type: Visa Mastercard Discover
*Excludes furniture and other heavy weight items where noted. For a shipping quote outside the contiguous 48 states for Alaska, Hawaii, Puerto Rico and Canada, please contact us at 1-877-473-3616 (select option 2) or complete our online contact us form.
Please remember that the above rates include a processing fee in addition to the freight costs. This portion of the fee goes toward the careful handling of your order including the materials used (recycled boxes and packing boxes, tape, etc.) as well as the labor to pick, pack, and ship your order.
Canadian Residents Please Note: