American Furniture Order Form

Qty.  

Model Number   

Broyhill Description                            

Price       

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Total

 

Sold to:

Name______________________________________________

Address____________________________________________

City/State/Zip_______________________________________

Day Phone_________________ Fax_____________________

Night Phone___________________ Cell__________________

To order...please print, fill out order form and mail, along with merchandise payment, to:

American Furniture Whse., Attn.: Mike Fletcher, 3900 High Point Rd., Greensboro, NC 27407