Online Order/Quote Form
If you are interested in submitting your order for quotation via online, please complete the information below and press
Submit.  A representative will contact you by phone or as indicated on the form.
Contact Information:
Company Name:
Name:
Address:
City:
Province:
Country:
Postal Code:
Is The Shipping Address the same?
If No, please provide your shipping address information below;
Address:
City:
Province:
Country:
Postal Code:
Phone Number:
Fax Number:
Email Address:
Best Time to Contact You:
Or Specify Time:
Best Day to Contact You:
How do you want to be contacted?
Items Purchased:
Please enter the details of the item you wish to purchase
How will you be paying for your purchase?
How Did You Hear About Us?
Have we already sent you Free Fabric Samples?
Please Press Submit To Request Your Quote
This Quote is not considered a firm Sale until we have
confirmed all pricing with you and when payment has
been made by you.  
Online Orders
You can place an order one of two ways;

1. Call our office at 1-888-925-4844 and speak with
a representative to place your order over the phone

2. Complete our
Online Order Form (below) and
submit to our office.
Call Toll Free:
1-888-925-4844
Designer Chic Wall Mounted Headboards & Wall Panels
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