ORDER FORM

Bonded Fibers Northwest, Inc.				IMPORTANT! With our computerized order-taking system, it is essential that we have your Area Code & Phone Number. This identifies you when placing an order or when making an inquiry. If you do not have a phone number, we will assign you a customer number. Please use this same number when ordering each time. PLEASE TYPE IN YOUR AREA CODE & PHONE NUMBER ()
NAME
ADDRESS
CITY
STATE		ZIP CODE

Ship by:

Express Shipping:

Standard Shipping:

Date:

ITEM NO.	QUANTITY	DESCRIPTION OF GOODS	COLOR	SIZE	PRICE EACH	TOTAL AMOUNT
				AMOUNT OF ORDER:
				SHIPPING & HANDLING:
				SUBTOTAL:
				SD RESIDENTS ADD SALES TAX:
				TOTAL AMOUNT OF ORDER:
To complete the order, call us toll free at -877-834-7819

 

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