form4long

Southwestern Decor

Mail in Order form

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

Order Form

Item# and short Description	Qty.	Unit Price
Email address or Phone
Cardholder's Name:
Cardholder's Address:	Street:
Cardholder's Address:	City:
	State:	Zip
Ship To: ( If Different )	Name:
Address:	Street:
Address:	City:
	State:	Zip:










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