Indiana coated fabrics - Warsaw Indiana



 

 

 

Price Request / Order Form
You may request price and delivery information or place an order
via Phone, Fax or E-mail by using following form.
 



 

 You will be contacted via phone or e-mail for
both price requests and new orders!

PO:

Date:

* "10/02/2000"

Ship & Bill to:

*

Country:

*

Attention:

Phone:

*

Address:

*

Fax:

Address:

E-mail:

*

City:

* * Required fields

State/ Zip:

* *
 
Quantity
in yards
Width Product Color Unit Price Total
ICF to advise ICF to advise
ICF to advise ICF to advise
ICF to advise ICF to advise
ICF to advise ICF to advise
ICF to advise ICF to advise
ICF to advise ICF to advise
ICF to advise ICF to advise
ICF to advise ICF to advise

I want to prepay my order.
Please E-mail me with total amount due.
 Have someone call with total amount due.
Please send me a free artist packet
Sub-total ICF to advise
S & H ICF to advise
Total due ICF to advise

Do not fill in shaded areas
ICF will advise prices and
shipping / handling costs

Artist packet consists of (1) 8"x10" each of the artist fabrics.
Please review above information for completeness and correctness before submitting.
(via email)   (clears all entries above)               
*** Print a copy for your records and file ***

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