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Order Reservation Form |
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| Overland
Park @ Metcalf 103 Shopping Center |
6990
W. 105th Street Overland Park, KS Phone: (913) 381-1335 |
Kansas
City North @ Home Products Center |
109
N. E. 91st Street Kansas City, MO Phone: (816) 436-4545 |
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Order Reservation Form Instructions: |
Consumer
Notes: Confirm finish availability on each item. 20% Re-stocking charge will apply on all non-stock returns. |
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| Today's Order Date: | Shipping Preference Date: |
| First Name: | Last Name: |
| Street Address: | City, State & ZIP |
| . | . |
| Daytime Phone: | Evening Phone: |
| Email Address: | |
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Shipping Preference: (*Additional charges will apply) ____*OVERNIGHT ____*GROUND ____CUSTOMER PICKUP |
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| Pay Preference: ____CASH ____CHECK ____CREDIT CARD ____BUSINESS ACCT |
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Item #1 |
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| Department: (Sec/Cab/Bath/Fun) | Maker/Vendor Name: |
| . | . |
| Model Type/Description: | Part Number: |
| . | . |
| Finish Type: (See above note) | Quantity: |
| . | . |
| Item #2 | |
| Department: (Sec/Cab/Bath/Fun) | Maker/Vendor Name: |
| . | . |
| Model Type/Description: | Part Number: |
| . | . |
| Finish Type: (See above note) | Quantity: |
| . | . |
| Item #3 | |
| Department: (Sec/Cab/Bath/Fun) | Maker/Vendor Name: |
| . | . |
| Model Type/Description: | Part Number: |
| . | . |
| Finish Type: (See above note) | Quantity: |
| . | . |
