Order Reservation Form

Order Reservation Form

Overland Park @ Metcalf 103 Shopping Center	Kansas City North @ Home Products Center
10333 Metcalf Overland Park, KS 66212 Phone: (913) 381-1335	131 N. E. 91st. Street Kansas City, MO 64155 Phone: (816) 436-4545
Fax: (913) 381-0839 locks2@birch.net
Order Reservation Form Instructions: 1. Click here to Print out Form 2. Fill out Form 3. Fax Form OR 1. Press SUBMIT at the bottom of this Form You will be contacted by Locks & Pulls, Inc. for product, payment and delivery confirmation information in 3-5 business days!
Consumer Notes: Check with Locks & Pulls for finish availability on each of your selections. 20% Re-stocking charge will apply on all non-stock returns.

Today's Order Date:                                          Shipping Preference Date:

First Name:                                                         Last Name:

Street Address:                                                  City, State & ZIP

Daytime Phone:                                                  Evening Phone:

Email Address:

Shipping Preference:
*OVERNIGHT *GROUND (*Additional charges will apply)
CUSTOMER PICKUP

Pay Preference:
CASH  CHECK CREDIT CARD BUSINESS ACCT

Department: (Sec., Cab., Bath, Fun)            Maker/Vendor Name:

Model Type/Name/Description:                     Part Number:

Finish Type: (If applicable)                             Quantity:


Department: (Sec., Cab., Bath, Fun)             Maker/Vendor Name:

Model Type/Name/Description:                     Part Number:

Finish Type: (If applicable)                             Quantity:


Department: (Sec., Cab., Bath, Fun)            Maker/Vendor Name:

Model Type/Name/Description:                     Part Number:

Finish Type: (If applicable)                             Quantity:


(Use this button when more than one form is submitted)

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