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TuscanDecor.com
To call, fax,
or mail your order, please print this page and send.
Use your back button to
access the previous page.
Call: (828) 693 - 6832 Hours: Monday - Friday 9am - 5:00pm EST
Fax: (828) 693 - 6832 Please type or print clearly.
Mail: TuscanDecor.com Order Entry Services
1510 Ridgewood Blvd. Hendersonville, NC 28791 |
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Sold To:
(If paying by credit card, note your name and address as it appears
on file with your credit card company.
Name:_________________________
Address:_______________________
______________________________
City:__________________________
State:_______Zip________________ |
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Ship To:
Please fill in information below if items are to be shipped to an
address other than "Sold To" address.
Name:______________________
Address:_______________________
______________________________
City: __________________________
State: _______Zip:_______________ |
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Items
Ordered:
Item # Qty Description
Price Each Total Price
__________________________________________________________________
__________________________________________________________________
__________________________________________________________________
__________________________________________________________________
__________________________________________________________________ |
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Method of
Payment (No Cash or Stamps)
Reminder: Make certain that your billing name & address above are
the same as the name and address on file with your credit card
company.
Circle One:
Visa MasterCard Discover
Credit Card Number:_____________________
Expiration Date:______________
Signature: ____________________________
Daytime Phone: ( ) ________________ |
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Order
SubTotal: _________
Shipping: _______________
Total: __________________
(We will notify you of shipping & Handling Charges after you place
your order.) |
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