Hudson River Inlay - Drop Ship Order Form

HUDSON RIVER INLAY

207 Wembly Road, #4, New Windsor NY 12553

phone: (800) 745-0744 Fax: (845) 567-9036

email: info@hudsonriverinlay.com

Date: Show:

Bill To:

Name

Address

City

State Zip

Daytime Phone

e-mail

(to receive tracking info for your shipment)

Ship To:

same as
billing address check if this is a
business address

Name

Address

City

State Zip

Ship To Phone

ORDER INFORMATION

Item #	Description	Total

Shipping and Handling Information

Category	Shipping	Lead Time
32"x 40" mirrors	$75	up to 3 weeks
25"x 31" mirrors	$55	up to 3 weeks
Full Length Mirrors	$225	up to 6 weeks
Windows To the World	$75	up to 6 weeks
XL (oversize) Mirrors & Art	$375	up to 8 weeks
18"x 40" artwork (each)	$55	up to 3 weeks
18"x 40" triptychs (set of 3)	$110	up to 6 weeks
Console Tables	$85	up to 10 weeks
Semilune Tables	$55	up to 10 weeks
Coffee Tables	$220	up to 10 weeks
End Tables	$120	up to 10 weeks

Special Instructions

No signature required Check if this is a gift

Please note: International shipments and/or items shipped to Alaska or Hawaii will require an additional shipping charge!

other notes:

subtotal 1 $0.00

shipping $

subtotal 2 $0.00

sales tax* $0.00

GRAND
TOTAL $0.00

*sales tax rate for this order %

Your item(s) should be shipped by the week of:

(Please allow 3-10 weeks for delivery, depending on item and time of year. Our goal is to ship as soon as possible.)

**please allow 2 weeks for checks to clear. There will be a $20 fee for returned checks

White Copy - HRI Thank You! Yellow Copy - Customer