Carolina Adirondack Furniture Company Order Form

Carolina Adirondack Order Form

Please use this Order Form for all orders

For Company Use Only

Order by Phone
336-577-3079
Mon-Fri 9am-5pm
Eastern

Order By Fax
336-725-5934
24 hours per day
7 days per week

Order By Mail
Carolina Adirondack
P.O. Box 15356
Winston-Salem, NC USA 27113

Press your Browser's PRINT button to print this Order Form.

	PURCHASED BY:		SHIP TO: Check if same as purchaser
	Name _________________________________________		Name _________________________________________
	Street Address _________________________________		Street Address _________________________________
	City, State, Zip __________________________________		City, State, Zip __________________________________
	Daytime Phone __________________________________		Daytime Phone __________________________________
	E-Mail _________________________________________		E-Mail _________________________________________

Select Products	Qty	Price
Carolina Adirondack Chair		$285
Cypress Legrest		$90
Classic Side Table		$105
New 36" Bench		$145
New 47" Square Dining Table		$450
Two-tiered Plant Stand		$135
Small Bonsai Plant Stand		$45
Large Bonsai Plant Stand		$65
Returns and Refunds Refund of the full purchase price (less shipping & handling) of any Carolina Adirondack product is available to the original purchaser within 30 days of delivery. A refund will be issued within 30 days of receipt of the return. Shipping & handling charges are not refundable. Prices are subject to change without notice.	SUBTOTAL
	SUBTOTAL
	Add 7.0% Sales Tax (North Carolina Only)
	Shipping & Handling (10% of Subtotal if outside Triad area)
	TOTAL

Payment

Check/Money Order/Cashier's Check Enclosed
(payable to Carolina Adirondack Furniture Co.)

Signature (Required on All Orders)

X_____________________________________ Date _________________________