Order Form

click here for printable form
 
Ken Parker Collection
Hand Painted Patio Umbrellas & Other Nifty Stuff
11885 E. Sand Hills Road
Scottsdale, AZ 85255
Phone 480-502-5561 Fax 480-513-1192
SALES CONFIRMATION
Effective 5/1/02
 

Client: ________________________________________________________Date: _____________

Address: __________________________City: _______________ State: ____ Zip:__________

Phone: __________________ Fax: __________________ E-mail ______________________
 
Payment Terms: ½ Deposit Upon Order, ½ At Time of Shipping (No Refunds)

Cash ____ Credit Card _______________ #____________________________Exp._________

Design Ordered _________________________ Initials ________________
Qty Item Cotton Acrylic Total
       
___ 6 foot Wood Market Umbrella, Octagonal     $450.00
___ 9 foot Wood Market Umbrella, Octagonal     $550.00
___ 11 foot Wood Market Umbrella, Octagonal with Dual Pulleys     $700.00
___ 9 foot Aluminum Tilt Type Umbrella, Octagonal     $550.00
___ Napkins to Match Design     $12.00
___ Placemats to Match Design     $16.00
___ Round Outdoor Umbrella Table Cover
to Match Design, 60”		     $80.00
___ Round Outdoor Umbrella Table Cover
to Match Design, 72”		     $90.00
___ Covers for Plastic Stacking Chairs     $68.00
___ Protective Umbrella Cover     $45.00
___ Umbrella Tivoli Lights     $80.00
___ Hand Painted Canvas Hammocks     $300.00
___ Custom Color (Our Design)     $50.00
___ Custom Design Charge     $150.00
TOTAL     $______
 
SHIP TO: ______________________________________________________

ADDRESS:_________________________________________________________________________

PHONE: ______________________________

PAYMENT IN FULL FOR ALL CUSTOM DESIGNS AT TIME OF ORDER. NO RETURNS OR REFUNDS. CUSTOM DESIGN APPROVAL _____________________________________

 

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