Blue Ridge Chair Works - Merchandise Order Form

Blue Ridge Chair Works Merchandise Order Form

Blue Ridge Chair Works
Attn: Alan Davis
P.O.Box 19364
Asheville, NC
28815

Phone: 828-299-9990
FAX: 828-299-9991

Email: sales@blueridgechair.com
URL: http://www.blueridgechair.com

Complete this form and mail it with your payment to the address on the left. Order by phone Monday thru Friday 8:30am to 7:30pm EST. You can also FAX a credit card order to the FAX number provided. Please remember to add the appropriate shipping and handling costs to your order.

Our shipping and handling costs is a flat rate of $10.00 for each item ordered within the Continental US. For shipping to Alaska, Hawaii, Canada, and all other international please call or email for rates.

North Carolina residents, please add
7.0% sales tax to your order total.

Please fill out the form below by entering the number of items desired and the subtotal in the appropriate row. Be sure to include your order total and all payment and shipping information on your order form. Your order will be shipped within 3 weeks of receipt of payment.

Payment Information
Check/Money Order ___ Visa ___ Mastercard ___
Credit Card Number ________________________________________________________
Expiration Date ________________ Authorization Number _______________________
Name As It Appears On Card ________________________________________________
Signature As It Appears On Card _____________________________________________

Ship To
Name __________________________________ Phone _________________________
Address __________________________________________________________________
City ____________________________ State _____ Country _______ Zip Code ________
Email Address _____________________________________________________________

Quantity	Item Number	Item Description	Unit Price	Subtotal
________	BPCH01	Chair: The Backpack Beach Chair (specify color: Forest, Navy)	$ 134.95	________
________	BRCH02	Chair: The Blue Ridge Chair (specify color: Forest, Navy, Atlantic Blue)	$ 54.95	________
________	NFCH06	Chair: The Outer Banks Chair (specify color: Forest, Navy, Atlantic Blue)	$ 139.95	________
________	SRCH03	Chair: The Sling Recliner (specify color: Forest, Navy, Atlantic Blue)	$ 129.95	________
________	DFCH05	Chair: The Highlands Deck Chair (specify color: Forest, Navy, Atlantic Blue)	$ 109.95	________
________	FSCH04	Chair: The Deluxe Folding Stool (specify color: Forest, Navy, Atlantic Blue)	$ 32.95	________
________	BRTB01	Table: The Blue Ridge Table	$ 69.95	________
________	LFTB04	Table: The Highlands Folding Table	$ 99.95	________
________	RTTB02	Table: The Roll-Top Table	$ 119.95	________
________	PTRT07	Table: The Parkway Picnic Table	$ 99.00	________
Order Subtotal			$ ___________

Shipping and Handling ($10.00 per item)			$ ___________
NC State Tax (7.0%)			$ ___________
Order Total			$ ___________