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Summary
Pine Living Rooms
Pine Bedrooms
Pine Beds with Bookcase
Pine Beds with Desk
Pine Bed Loft
Pine Dining Room
Oak Living Room
Oak Bedroom
Oak Dining Room
Replacement Cushions
Vinyl Fabrics
Interwoven Fabrics
Water-Proof Fabrics
Order Form

CONTACT US:
Ron Maver (Owner), P.O. Box 146
182 S. Lakeside Drive, Medford, NJ 08055

T: 1-800-941-1355
F: 1-609-654-7769

 

Order Form

 

When Ordering, send a copy of this Order Sheet along with your check, written to Crate Furniture Direct (and mail to): Crate Furniture Direct LLC

P.O.Box 146, Medford, NJ 08055

 

NAME: _____________________________________________________

LAND PHONE # ______________________________________________

STREET ADDRESS: ___________________________________________

____________________________________________________________

CELL PHONE # ______________________________________________


CITY: _____________________________              STATE_____              ZIP CODE ______________________

 

Item #

Quantity

Product Description

$ Amount / Item

Total

         
         
         
         
         
         
         
         
         
         
         
   

Total

 
   

Freight

 
   

Grand Total

 

 

 

Customer Signature __________________________________________________________________ 

 

 

 

Customer Name (please print) _________________________________________________________ 

Date _______________________