After submitting this form we will email you a Sales Order Quote which will include the following: Product price, shipping, and sales tax – where applicable. All Sales Orders/Invoices will be processed and shipped upon receipt of payment. Please include the Designer/Specifier information so that we may properly credit our Sales Team!
* = REQUIRED FIELDS  
*Date: (Sep/07/2010)
 Rep Code:
*Contact E-mail:
 *Confirm Contact E-mail:
 
BILL TO
SHIP TO SAME ADDRESS AS BILLING
*Name:
 Attention:
*Company Name:
 Company Name:
*Address:
 Address:
*City:
 City:
*State:
 State:
*Zip:
 Zip:
*Phone:
 Phone:
*Fax:
 Fax:
 
SHIPPING METHOD
  
**We ship FedEx Ground unless otherwise specified
*Ship-to address is: Residential   Business  

*Ship via UPS Ground FEDEX     UPS     

 
Special Shipping Instructions:
 
 
ORDER INFORMATION
Item #
(Required) 		Item Description #
 Yardage
(Required) 		Sidemark
Items under 3 yards per item are subject to a $50.00 cut fee.