Stock Drapery Hardware Order Form


First Name	Last Name

	-		-
Date

Address

Account Number


City	State	Zip

Purchase Order Number

	-		-
Phone Number

Sidemark

Drop Ship Address (If different from adove)

Address

Name or Company


City	State	Zip

Instructions: Please completely fill out order form and shade in productions.
See back cover for phone and fax number informacion.