Abundant Living Interiors Duplicate Slipcover Order Form

Please Print this form, complete and mail with Slipcover to be duplicated.

Date: _______________

First Name: _____________________ Last Name: __________________________

Address: ________________________ City: _________________________ State: _________________

Phone: _______________________ Email address: _________________________

Enter billing address or leave blank if the same as above:

First Name: _____________________ Last Name: __________________________

Address: ________________________ City: _________________________ State: _________________

Phone: _______________________ Email address: _________________________

Please enter fabric information or enter quantity if using your own fabric:

Manufacturer: ____________________ Collection: ______________________

Pattern: _________________________ Color: ___________________

Price per yard if known: ______________Quantity: ___________________

Sub Total (Labor and materials): __________

Shipping charges (See below): ____________

Total: (Please made check payable to Abundant Living Interiors) $__________________

Comments:

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Ground Shipping Charges:

Up to $34.99 ----------- add $6.95

$35 - $49.99 ----------- add $8.95

$50 - $74.99 -----------add $10.95

$75 - $99.99 ----------- add $12.95

$100 - $149.99 ----------- add $14.95

$150 - $199.99 ----------- add $17.95

$200 and more ----------- add 8%

Please allow 2 to 8 weeks for delivery

Thank You!