HOME DECOR HARDWARE
CALL TOLL FREE: 1-877-765-4052 OR
FAX: 1-215-893-8767
EMAIL: info@homedecorhardware.com,
WEB-SITE: www.homedecorhardware.com
Print this page, fill out the information below, and fax to: 1-215-893-8767
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Order up to $25 worth of SAMPLES (maximum of 3 different
items) per order from one single manufacturer.
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Receive a credit for $6.95 when you place a subsequent order of $100 or more of similar items
from the same manufacturer within 30 days of purchase of SAMPLES.
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Return SAMPLE item(s) within 15 days of purchase and receive full refund for the price of the
item(s). Shipping & Handling charges are non-refundable for any returns. All other items purchased through normal ordering will be subject to a restocking fee per our RETURN POLICY at
http://www.homedecorhardware.com/info.html#Policy.
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Note: Allow 7-14
business days for delivery by ground. Expedited shipping
available at additional cost (non-refundable).
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SHIPPING INFORMATION: (all fields are required)
- $6.95 shipping cost applied to ground shipments within 48 US
States only. All other shipments will be charged per actual cost.
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Name:
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Phone: |
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Email: |
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Shipping Address:
(no PO Box) |
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City:
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State:
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Zip: |
SAMPLE INFORMATION (list items from a single
manufacturer):
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#
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Qty |
Item ID |
Description |
Finish/Style |
Unit Price
(leave blank if not known) |
Total Price |
| 1 |
1 |
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| 2 |
1 |
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| 3 |
1 |
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| Sub-total (must
not exceed $25)
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| Shipping and Handling (within 48 US States)
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$6.95 |
| GRAND TOTAL
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BILLING INFORMATION: (all fields are required)
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Credit Card Type: |
Visa |
MasterCard |
Amex |
Discover |
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CC Number: |
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Exp Date (mm/yy): |
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Owner's Name: |
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Billing Address: |
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City: |
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State: |
Zip: |
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Signature: |
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Date: |
COMMENTS: (please provide additional information if
necessary)
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