Southwestern Decor

Mail in Order form

Print Form and Mail to:
Southwestern Decor ~ 36957 Sunset Ln ~ Parker, AZ 85344

Order Form

Email address or Phone
Cardholder's Name:
Cardholder's Address:
Street:
City:
State:
Zip
Ship To: ( If Different )
 
Name:
Address:
Street:
City:
  State:
Zip:
Item# and short Description Qty. Unit Price Qty. times Price
Subtotal
No Handling charges will apply. Actual shipping charges will be charged to your
card at the time of shipping.
On Furniture, Large and Heavy items, or Large Orders Please ask for quote.
Order Total

Payment Method

Card Type:
Card No:
Expiration Date (mm/dd):
Name Appearing on Card: