74 Folding Tables & Chairs
WORTHINGTON DIRECT
WORTHINGTON Call: 800-599-6636 D
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Federal I.D.#: 75-2693807
Fax: 800-943-6687
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Phone: 214-824-6009 • Fax: 214-824-1771 • E-Mail: info@WorthingtonDirect.com
The Leader in Wholesale School Furniture
Mail To: P.O. Box 140038 Dallas, TX 75214
Date:_ ______________________ Purchase Order No.:____________________________________________________________ Does this confirm phone order? yes no Authorized Signature:____________________________________ Position:____________________________________________ Email Address:__________________________________________ School, Institution, Church, Company School, Institution, Church, Company (cannot ship to a P.O. Box) Bill To (please print):_______________________________________________________________ Ship To (please print):_ ___________________________________________________________ Attention:_______________________________________________________________________ Attention:______________________________________________________________________ Mailing Address:__________________________________________________________________ Shipping Address:_ ______________________________________________________________ City:___________________________________________________________________________ City:__________________________________________________________________________ State:_ _____________________ ZIP+4:_______________________________________________ State:______________________ ZIP+4:______________________________________________ Phone:____________________________________Fax:_ _________________________________ Phone:____________________________________ Fax:_________________________________
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Please visit www.worthingtondirect.com for ordering online, freight quotes, product information, and more! *If you wish to send a check with the order, take 2% discount.
Subtotal – *2% Discount
Subtotal
Credit Card #__________________________________ Expiration Date:_ ________
Cardholder Signature:_ ________________________________________________ + Shipping Charges To expedite your order, please fill in 9-digit priority code # from address label on back cover: S_______—_______—_______ Billing accounts are opened with school boards and other established educational institutions. Commercial and business firms desiring to establish credit, please send a bank reference and 3 active trade references (including phone numbers and account numbers). Terms: Net 30 days.
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Sales Tax required on merchandise, shipping and delivery charges in the following states: Tax - (See Note) IN, NJ, SD and TX, unless a tax-exempt certificate is on file with us. New customers should Order Total attach a copy of your tax-exempt certificate with your order. It is possible that other states may require payment of sales tax, please check your state requirements. If tax exempt, please enclose a tax-exempt certificate.
Make a copy of this form and fax or mail Royal 3700 First Aid Couch AS LOW AS
44995
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SHIPPING Shipping charges are additional. We prepay freight charges and add them to your invoice. UPS deliveries are brought into the building. Freight Truck Deliveries are tailgate. The driver brings the freight to the back of the truck and the Customer unloads from the tailgate into the building. Inside Delivery is also available for an additional charge (specify when ordering). Please visit our website or call us for a freight quote. DAMAGES Examine all cartons carefully before signing the delivery receipt. Note any damages, shortages or carton defects on the delivery receipt. Call our Customer Service Department immediately! 800.599.6636
• Vinyl colors: Tan, Navy and Burgundy • Optional #67130 paper dispenser w/cutter and paper roll • Black metal finish only. Dimensions: 36”W x 72”L x 23”H • Model 3710 folding legs only • Wt. 90 lbs. Tan Navy Burgundy Model Mfg. List 67124 67126 67127 3710 $778.00 Add For Dispenser And Paper #67130 $109.95 Add For Paper Only #67630 $13.95
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Our Price $449.95
800.599.6636 | www.worthingtondirect.com
CANCELLATIONS/RETURNS Return Authorizations are issued before any merchandise may be returned. Shipments may be subject to restocking and return shipping fees. DUPLICATE ORDERS If you have placed an order over the phone or by fax, please do not send a confirming order or P.O. Thank you for helping us avoid duplicate orders.