IN ORDER TO ASSURE ACCURACY AND GOOD QUALITY CONTROL, PLEASE RESPOND EITHER BY:
* Printing this form, faxing back to (706) 625-2369 with signature and instruction.
* E-Mailing this form to samples@stantoncarpet.com (hit reply) with your name printed above the print name column, the acct and all instructions filled out.
If you have any questions, call customer service 706-624-9385 or e-mail info@stantoncarpet.com
ACCT NUMBER
PRINT NAME (AUTHORIZED TO PURCHASE)
BILL TO
SHIP TO (LEAVE BLANK IF SAME)
PHONE NUMBER
FAX NUMBER
EMAIL ADDRESS
SALES REP
Indicate Display Quantity Below:
__________ Naturally Green Display (QUANTITY)
__________ Royal Showcase Display (QUANTITY)
SIGNATURE (UNNECESSARY IF YOUR RESPONSE IS E-MAILED AND YOUR NAME IS PRINTED ABOVE)
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