Totally Furniture Fax / Mail Order Page

Totally Furniture Fax / Mail Order Form

Fax Your Order Any Time! To: Fax: 1-818-301-2001 (No need for cover sheet.) Mail Your Order To; Totally Furniture Att: Order Department 13351-D Riverside Dr #650 Sherman Oaks, Ca. 91423I	If you have any questions feel free to get in touch with us: Via Email: customerservice@totallyfurniture.com . or Phone Toll Free At: 1-866-847-4580 Or 1-877-833-6644
Ship To Address: (Please make sure to include a valid telephone number and Email address)		Billing Address: Same as shipping address (Please make sure to provide the correct credit card billing address to avoid any delays)
Email Address:		Email Address:
First and Last Name:		First and Last Name:
Company Name: (If Applicable)		Company Name: (If Applicable)
Address:		Address:

City:		City:
State: Zip:		State: Zip:
Day Time Telephone Number:		Day Time Telephone Number:

Where did you here about us?

Please provide method of payment: Visa Master Card American Express Discover Check Money Order

Enter Credit Card Number: Expiration Date:

Product SKU	Product Name	Color / Size	Qty	Unit Price	Total









Sub Total
Discount (See our Promotions page for more details)
Shipping
Tax ( 8.25% Applied for California orders only)
Grand Total

Signature: __________________________________________________(Required) Date:_____________________