ORDER FORM
TO PAY BY CHECK/MONEY ORDER by MAIL or FAX ORDER PAGE
Date:________________
PLEASE PRINT
Your Name:___________________________________________________
Ship to Address: _______________________________________________
City, State, Zip Code:____________________________________________
Payment Method: p Faxing Check p Mailing Check/M.O. p PayPal
| Ref # | Item Description | Sale Price | Quantity | + Shipping | = Total for Item |
| TOTAL FOR ORDER: | |||||
PLEASE MAKE CHECKS PAYABLE TO FCHP, INC.
TO PLACE YOUR ORDER:
Please print this form and fax it to or mail it along with payment. Please email us if you have any questions. You can FAX your check Toll Free to 1-877-875-5022 along with this order form. Please mail all orders to:
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HomePlaceDirect Furniture Land Station P.O. Box 7106 1019 Finch Avenue High Point, NC 27264 |
You can also email us your order and we will invoice you through PayPal, so you can use your credit card securely. Should you have question, please call 1-800-823-4233. Free shipping this month.