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Instructions:

Please print this form, fill it out, and then either fax to
(239) 449-4446 or mail to the address listed to the right. >>		 Mail to address:
BestRugs
9210 Estero Park Commons Suite 5
Estero, FL 33928
Qty SKU Description (include manufacturer) Color Size Price
 
 
 
 
 
 
 
  Subtotal: 
  *Sales Tax: 
  ** Shipping:  FREE!
  *** TOTAL: 
*    Florida residents please add 6% sales tax to your order.
**    Shipping and Handling Charges: You get FREE shipping and handling on all of our rug orders within the Continental United States.
***    You will be contacted if the actual total differs.
How did you find out about BestRugs:
Payment Information:
How do you wish to pay?  Please check a payment method and/or fill in required information.
_____ Visa     _____ MasterCard     _____ Discover     _____ American Express
Credit card number: __________________________________     Exp. Date: _____________
Name on card: (please print)  __________________________________    
Signature: (required) __________________________________    
_____   Check (US funds only.  Mail to address listed below along with this order form)     _____   Money Order (US funds only.  Mail to address listed below along with this order form)
Mail check or money orders to:    BestRugs
9210 Estero Park Commons Suite 5
Estero, FL 33928
E-mail address:
Billing Address:
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Street Address:  
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Daytime Phone:  
Evening Phone:  
Shipping Address: (if different from billing address)
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Special Instructions and Comments:
 
 
 
 
 
THANK YOU FOR YOUR ORDER!
You will receive an Order Confirmation via email if you have filled in your email address above.