Mail Order Form

Qualwood™ Hangers

Fax or Mail Order Form

Sold To

Name _______________________________________

Address_____________________________________

City______________________State ___ Zip________

Phone # (_____)_______________

e-mail address________________________________

Ship To (if different)

Name_______________________________________

Address_____________________________________

City______________________State ___ Zip________

Description: Hanger Style, length and finish color	Quantity	Price	Total



Shipping:
Order Total:
Order Total:

Payment:

___ Check or Money Order (US Funds) ___ Master Card ___ Visa

    Credit Card Number:__________________________________

   Expiration Date: ____________

___________________________________________________________

       Please sign your name as it appears on your credit card.

Ordering Information:

1.       Use this form for Fax or Mail orders.

2.       Please use a street address for your shipping address. We ship Custom Hangers by UPS and they cannot deliver to a PO box.

3.       Personal checks and Money Orders are welcome. Please make payable to: Unique Quality Woodworks.

4.       We cannot accept COD orders.

5.       Please be sure to include your phone number and/or e-mail address in case we have any questions.

Fax orders:   Fax your completed form to:    505/869-6557

Mail Orders: Mail to: Unique Quality Woodworks

                                        PO Box 1682

                                        Peralta, NM 87042