Quality Doors FAX order form. Print this page from your browser. Use it for FAX or mail order quotes and orders.

check one box only  FIRM ORDER

check one box only QUOTE ONLY

Quality Doors logo

Eclectic-ware logo

Eclectic-ware, 3110 Turkey Walk Lane, Wimauma, FL  33598 — Phone 813-633-7544 --- FAX 813-634-3400

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Eclectic-ware supplied data

Print, then fill out below spaces (PLEASE PRINT)

Acc #

Phone: (813) 633-7544

P.O. #

Phone #

Company name: Eclectic-ware

Ship to (customer):

Mailing address: 3110 Turkey Walk Lane

Address:

City,ST,Zip: Wimauma, FL 33598

City,ST,Zip:

Date ordered:

Ordered by:

Preferred shipper:
Fed-Ex ground

 Prepaid

Additional customer supplied data — Eclectic-ware use only — Below info block will not be forwarded to Quality Doors.

E-mail:

FAX #:

VISA/MC/Amex: ___ ___ ___ ___-___ ___ ___ ___-___ ___ ___ ___-___ ___ ___ ___

Exp date: ______/____

check one box only UNFINISHED

check one box only PREFINISHED

Color:_____________________________

DOORS

DOORS (continued)

DRAWER FRONTS

WOOD:________________________________

Design #________

_______

_______

______

 

FRAME

PANEL

EDGE

WOOD:________________________________

Design #________

_______

_______

______

 

FRAME

PANEL

EDGE

WOOD:________________________________

Design #________

_______

_______

______

 

FRAME

PANEL

EDGE

 

Quan

Width

Height

Options

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Quan

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Options

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Optional items:

1. ________________________________________

2. ________________________________________

3. ________________________________________

ORDER EXACT OVERALL DOOR SIZES
click here for measuring recommendations
Maximum guaranteed width all designs 23". Maximum guaranteed
height all designs 46". Most designs over 46" have two panels.

_________________________________________________
Customer Authorization (signature)

Quality Doors FAX order form. Print this page from your browser. Use it for FAX or mail order quotes and orders.

check one box only  FIRM ORDER

check one box only QUOTE ONLY

Quality Doors logo

Eclectic-ware logo

Eclectic-ware, 3110 Turkey Walk Lane, Wimauma, FL  33598 — Phone 813-633-7544 --- FAX 813-634-3400

[Home] [ Eclectic-ware decorative hardware] [Quality Doors On-line order page ] [Quality Doors main page] [ Contact us]

If you have more information to submit and you cannot fit it in the form above, please print ledgibly below your additional items. Such as drawer boxes, plywood, mouldings and any comments you may have regarding your order. Thanks.