Order Form

BlowOutFurniture.com
Email or US Mail Ordering!

Blowout Furniture

40 FM 1960 West #445

Houston, Texas 77090

Phone: 281-288-3800

Select and fill the items that apply, then fill in the quantity, description and totals of the items you want. Make a note of the total amount due for payment and Submit. Then you can use the PayPal link below to make your payment, or we can contact you for payment.

Date:

Name:

Ordering By:

Title:

Online Form

Phone:

Check by Fax

Regular Mail

Billing Address:

Over Night Mail

Have a salesperson

contact me

E-mail

Type of Payment:

Shipping Address:

If same as billing address, leave blank.You may use this section for any special instructions.

Credit Card

Personal Check

Cashier Check /

Money Order

Cashier Checks or Money Orders can not be accepted online or by Fax.

Tip: You can Cut and Paste the items you want right into this Form. When clicking away or into this order page, a separate window will open so that you may view the items you want while still having access to this order form.

Quantity	Item #	Description	Amount	Total





Texas Residents must pay 7.25% Sales Tax,			Sub Total
Houston Residents must pay 8.25% Sales Tax			Taxes
Same or Next Day Delivery Available in the Houston Area!			Shipping
			RUSH
			Total
Please RUSH my Order for an additional $10.00

If paying with a credit card by Fax, Please fill in above and then print. After Printing please hand write your Credit Card Information below before faxing. IF paying with a check by fax, please include a copy of your signed check with Fax. CC# _____________________________ EXP.______________

After you submit your order above, you can submit secure payment via PayPal if you wish, if not we will contact you for payment over the phone, Please email us letting us know when would be the best time to call.

You can mail your Order in and make payment by Overnight or Regular US Mail. If you wish to order via snail Mail please fill in above form first and then print a copy of form to include.

Note; If you do not have printer you may hand write your order on standard size paper. Please use this form for a guide of info needed.