American Furniture

46 ORDER FORM
Credit Card Orders (760) 743-6923
For Orders & Customer Service
8 AM-4 PM M-F Pacific Time
FAX Orders 24 Hours a day (760) 743-0707
www.americanfurnituredsgn.com
E-mail Americanfurniture@cox.net
Address:
P. O. Box 300100
Escondido CA 92030
SOLD TO:
Name     ____________________________________________________________________________________________
(Please Print)

Address _____________________________________________________________________________________________

City            _______________________________________________State______________ZIP_______________________

SHIP TO: (If different than Sold To)
Name         ___________________________________________________________________________________________
(Please Print)

Address ____________________________________________________________________________________________

City        ______________________________________________State______________ZIP_________________________

PHONE NUMBER. Required for all credit card orders and checks without printed phone number.
TOTAL _________________Method of Payment Shipping Charge:
Check or money order_________ $ 0.00 to 20.00 $5.00
Master Card______Visa_______ 20.00 to 40.00 6.00 Shipping __________________
My Bank Card Number is : 40.00 to 60.00 7.00
__ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ 60.00 to 80.00 8.00
Sales Tax ___________________
EXP Date______________ 80.00 to 100.00 9.00 CA Customers include 7.75% tax
100.00 to 120.00 11.00
_________________________________________ 120.00 to 140.00 13.00
(Please sign your name as it appears on your credit card) TOTAL ______________________ 140.00 to 150.00 15.00
150.00 to 175.00 16.00
175.00 to 200.00 17.00
201.00 FREE
Email address________________________________________
FREE
SHIPPING ON ALL ORDERS OVER $200.00 IN THE USA.
Combine your plan order with Tools, Hardware Kits, Finishing supplies & Books!!!
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