jp blomquist - upholstery fabric

order fabric & samples by fax 512 261 4484 or phone 512 261 4414

Bill to:		Ship to:
ordered by		P.O.
name		name
company		company
address		address
city		city
state	zip zip4	state	zip zip4
phone		phone
email

fabric number

yardage

price

extension

samples requested

tax#
sidemark

Texas sales tax 8.25%

subtotal

FedEx UPS

shipping & handling

total

card number:

Debit Visa MC AE

expiration:

sid code:

name on card

signature:

Samples
5" x 6" $1 per sample - first class mail
Larger samples - to be returned in 15 days, includes a return addressed envelope and postage $10.
10" x 12" 1 to 5 samples - $5 deposit per sample
25" x 25" sample - $10 deposit

fabric may be returned with in 15 days, if it has not been cut or damaged
a 5% restocking fee will be assessed
shipping and handling costs are not refundable