Bell's Fine Cabinetry - Product Order Form

Bell's Fine Cabinetry
Online Order Form

Postal Address
1021 N. Emerald Ave. #A
Moodesto, CA 95351
Contact Numbers
Phone: (209)527-3839
FAX: (209) 527-6500
E-mail
bells@thevision.net

Customer Details

Name Email Address Organisation Homepage, if any Postal Address

Purchase Details

Please type in the number of units you wish to purchase in the box next to each product. Total value and discount, if any, will be automatically calculated.

Code	Description	Price($US)
P1	Product 1	$35.95
P2	Product 2	$64.50
P3	Product 3	$25
P4	Product 4	$75.95
P5	Product 5	$49.95
P6	Product 6	$79

Billing Details

This information is generated automatically for your convenience!

Products Subtotal US$ Discount % Total US$

Credit Details

Method of payment Check via post Credit card via Fax Invoice me Credit card via online (fill details below)

Card Type Visa Mastercard American Express Card Number Cardholder Expiry Date

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