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ORDER FORM

Please fill in the form below and one of our sales representatives will contact you by phone or email within 24 hours.

I am interested in:

Bar Stool/Table Number Style Quantity
Description Height Price
Bar Stool/Table Number Style Quantity
Description Height Price
Bar Stool/Table Number Style Quantity
Description Height Price

Florida residents please add 6% Sales Tax

Total Price(shipping not included):

At Alfa Dinettes (Bar Stools) we accept all major credit cards, checks and money orders:

Credit Card Information:

Credit Card
Name on Credit Card:
Expiration Date:

Address:

Daytime Phone:
Evening Phone:
Fax Number:

Email Address (IMPORTANT):

If you are SHIPPING to an address OTHER than that above, please fill out the following:

First Name:
Last Name:

Shipping Address:

Daytime Phone:
Evening Phone:
Fax Number:

If you did not see exactly what you were looking for, please describe what you are looking for:

Comments:

You will receive your order within 2 to 6 weeks depending on availability.

Upon final confirmation of your order we will notify you of your exact shipping date.
   
     
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