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

 FIRM ORDER

 QUOTE ONLY

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: ______/____

 UNFINISHED

 PREFINISHED

Color:_____________________________

DOORS

DOORS (continued)

DRAWER FRONTS

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.

 FIRM ORDER

 QUOTE ONLY

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]