Please print this fax-in order form
(2 pages). Then fill-out the form (both pages) and fax to the
appropriate number listed below.
HomeDecorations.com Fax
Order form
Fax # (303) 979-7986
1) name:______________________________________________________
2) SHIPPING ADDRESS: (street)__________________________________
(city)____________________________________
(state)___________________________________
(zip code)________________________________
(telephone #)______________________________
(fax #)____________________________________(need this # to order!!)
3) BILLING ADDRESS: (street)_____________________________________
If different than shipping (city)____________________________________
(state)____________________________________
(zip code)_________________________________
4) PAYMENT METHOD: Visa________ Master Card_________
American Express________ Discover_________
Money Order________ Check___________
Credit Card No.____________________________________
Expiration Date______mo._________yr.
5) UPS Ground shipping: (yes/no)__________
6) If no, how do you want it shipped_______________________________
(you will be billed for anything other than UPS Ground shipment)
7) ORDER INFORMATION "FROM HOMEDECORATIONS.COM WEB SITE
ONLY":
"NO CATALOG ORDERS"
1. Model #:__________________*
Order Code:________________
* FROM HOMEDECORATIONS.COM WEB SITE ONLY
Color/Finish (if applicable):________________
Price:_____________
# Items ordered:_______________
2. Model #:__________________*
Order Code:________________
*FROM HOMEDECORATIONS.COM WEB SITE ONLY
Color/Finish (if applicable):________________
Price:_____________
# Items ordered:_______________
3. Model #:__________________*
Order Code:________________
*FROM HOMEDECORATIONS.COM WEB SITE ONLY
Color/Finish (if applicable):________________
Price:_____________
# Items ordered:_______________
4. Model #:__________________*
Order Code:________________
*FROM HOMEDECORATIONS.COM WEB SITE ONLY
Color/Finish (if applicable):________________
Price:_____________
# Items ordered:_______________ |
