FAX/MAIL ORDER FORM

Print and Mail or FAX to: Furniture2YourDoor.com   51 Westwood Lane  Woodbury, New York 11797
FAX: (516) 692-7334    Or Call  (516) 692-7334    www.furniture2yourdoor.com
Email: sales@furniture2yourdoor.com
 
PLEASE PRINT
ORDERED BY

SHIP TO (If Different)
Name    
Address    
 City/State   Zip:   Zip:
 Day Phone    
Alt. Phone    
FAX    
E-mail    

Shipping Address is a __ Residence    __Business

QTY

UNITS

DESCRIPTION

UNIT PRICE

TOTAL
         
         
         
         
         
         
         
         
         
 
Credit Card Number:   Sub Total  
Expiry Date:    
Card Type:   NY State Tax  
Cardholder: Amt. Due  

If sending payment, please enclose check or money order, payable to Furniture2YourDoor.com

TERMS: Net cash with order. Orders will be shipped upon receipt of payment.