Print this order form and fax it to 603-433-4146
General Information: |
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| First Name: | Last Name: | ||
| . | . | ||
| Phone Number (for questions only): | |||
| xx | xx | ||
| Credit Card Type: (we accept all major Credit Cards) | |||
| . | . | ||
| Credit Card Number: | Credit Card Expiration Date: | ||
| . | . | ||
| Signature: | |||
Shipping Information |
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| Street Address: | City: | ||
| . | . | ||
| . | |||
| State: | Zip Code: | ||
| . | . | ||
Order Information |
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| Depth of Mattress: (required) | Sheet Series Being Ordered: | ||
| [ ] 9" to 13" | [ ] 15" | [ ] T180 Select Colors & Qty | |
| [ ] 17" | [ ] 20" | [ ] Candlelight Cream Qty:____ | |
| [ ] Waterbed | [ ] Crystal White Qty:____ | ||
| Size of Mattress: (required) | [ ] Mist Blue Qty:____ | ||
| [ ] Twin | [ ] Full | [ ] Soft Mint Qty:____ | |
| [ ] Queen | [ ] King | [ ] Blush Rose Qty:____ | |
| . | . | ||
| Mattress Pads Being Ordered: | [ ] T200 Select Colors & Qty | ||
| (fits mattresses up to 15" deep) | [ ] Dove Gray Qty:____ | ||
| [ ] Twin Qty:____ | [ ] Hunter Green Qty:____ | ||
| [ ] Full Qty:____ | [ ] Pearl White Qty:____ | ||
| [ ] Queen Qty:____ | [ ] Burgundy Wine Qty:____ | ||
| [ ] King Qty:____ | [ ] French Vanilla Qty:____ | ||
Calculate Your Cost |
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Please refer back here for price list. |
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Don't Forget to add $9.00 per set for shipping and handling! |
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