You may use this form to place an order. We do accept credit card payment by American Express, Discover, Mastercard, and Visa. If you are paying by credit card, please fill out this order form and fax to 713-467-1572. If you have not received our response within 24 hours (excluding weekends) We would appreciate your calling us as we may not have received your fax..We value our clients and wish to provide the best in customer service.
Name:
Phone:
Facility:
Fax:
Address:
E-Mail:
City,St.,Zip:
Date:
Quantity
Description
Each
Total
Subtotal This Order
American Express Visa Master Card DiscoverName on Card: Card Number: Expiration Date: Cardholder Signature:________________________Date:__________
All orders are F.O.B.Factory. Shipping charges will be added to determine the final total amount due.
FAX TO: 713-467-1572 CALL US: 800-346-6911
Copyright(c) 2004. DTI Furniture. All rights reserved.dtifurniture@swbell.net