la Colección

Please provide the following order information Date: --

Name

Company Name

Street Address

Address (cont.)

City

State/Province   Zip Code Country

Work Phone Home Phone

FAX Email

                 QTY CODE                   DESCRIPTION

SHIPPING DESTINATION

Company Name

Address

Address (cont.)

City

State/Province Zip Code Country

Shipping:

Shipping is f.o.b. Guadalajara, Mexico.

Prices:

We will reply to your price request with our wholesale price quotation.

Terms:

We require a 50-percent deposit with the order, the balance due at time of shipment. Allow approximately
six weeks for delivery. For further information regarding prices, method of payment, packing and shipping
please contact us by email at: la-coleccion@email.com.

Custom
Orders:

To order custom made furniture please send us detailed information such as photos, dimensions,
wood type, finish, etc. See Furniture Information for more information.

To Order

Please print this completed Form and mail to:
la Coleccion
Florida 293
Tlaquepaque, Jalisco, Mexico 45500

  Or send the Order Form by FAX: (5233) 3659-4026
  We will respond by email or FAX.

  Thank you for your order.

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Name
Company Name
Street Address
Address (cont.)
City
State/Province	Zip Code Country
Work Phone	Home Phone
FAX	Email

	SHIPPING DESTINATION
Company Name
Address
Address (cont.)
City
State/Province	Zip Code Country