CUSTOMER BILLING INFORMATION:

FIRST NAME :
LAST NAME :
COMPANY :
ADDRESS 1 (No P.O. Boxes) :
ADDRESS 2 :
BLDG./APT./FLOOR/SUITE/DEPT. :
CITY :
STATE :
ZIP CODE :
PHONE :
EMAIL ADDRESS :

CUSTOMER SHIPPING INFORMATION (Leave Blank if same as above) :

SHIP TO - FIRST NAME :
SHIP TO - LAST NAME :
SHIP TO - COMPANY :
SHIP TO - ADDRESS 1 (No P.O. Boxes) :
SHIP TO - ADDRESS 2 :
SHIP TO - BLDG./APT./FLOOR/SUITE/DEPT. :
SHIP TO - CITY :
SHIP TO - STATE :
SHIP TO - ZIP CODE :
SHIP TO - PHONE :

PLEASE MAKE YOUR SELECTIONS
(IF YOU NEED ASSISTANCE) PLEASE CALL 888-427-6063

COMFORTER (Twin) 70 x 90 - $200.00 -------Quantity Select 1 2 3 4 5 6 7 8 9
COMFORTER (Full/Queen) 90 X 96 - $280.00 -------Quantity Select 1 2 3 4 5 6 7 8 9
COMFORTER (King) 108 X 96 - $360.00 -------Quantity Select 1 2 3 4 5 6 7 8 9
PILLOW (Standard) 20 x 26 - $80.00 -------Quantity Select 1 2 3 4 5 6 7 8 9
PILLOW (Queen) 20 x 30 - $120.00 ------Quantity Select 1 2 3 4 5 6 7 8 9
PILLOW (King) 20 x 36 - $160.00 ------Quantity Select 1 2 3 4 5 6 7 8 9
FEATHERBED (Twin) 39 x 75 - $60.00 ------Quantity Select 1 2 3 4 5 6 7 8 9
FEATHERBED (Full) 54 X 75 - $90.00 ------Quantity Select 1 2 3 4 5 6 7 8 9
FEATHERBED (Queen) 60 X 80 - $120.00 ------Quantity Select 1 2 3 4 5 6 7 8 9
FEATHERBED (King) 78 X 80 - $150.00 -------Quantity Select 1 2 3 4 5 6 7 8 9
FEATHERBED PROTECTOR COVER (Twin) - $30.00 -------Quantity Select 1 2 3 4 5 6 7 8 9
FEATHERBED PROTECTOR COVER (Full) - $40.00 -------Quantity Select 1 2 3 4 5 6 7 8 9
FEATHERBED PROTECTOR COVER (Queen) - $50.00 -------Quantity Select 1 2 3 4 5 6 7 8 9
FEATHERBED PROTECTOR COVER (King) - $60.00 --------Quantity Select 1 2 3 4 5 6 7 8 9
PILLOW PROTECTOR COVER (Standard) 20x26 - Pack of 2 - $12.00 -------Quantity Select 1 2 3 4 5 6 7 8 9
PILLOW PROTECTOR COVER (Queen) 20x30 - Pack of 2 - $14.00 --------Quantity Select 1 2 3 4 5 6 7 8 9
PILLOW PROTECTOR COVER (King) 20x30 - Pack of 2 - $16.00 --------Quantity Select 1 2 3 4 5 6 7 8 9

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[SHIPPING CHARGES] FOR YOUR REFERENCE - U.S. DOMESTIC ONLY:
Merchandise Total - Shipping Cost
up to $24.99...................$5.00
$25 - $ 49.99.................$10.00
$ 50 - $ 99.99................$15.00
$100 - $199.99...............$20.00
$200 - $299.99...............$25.00
$300 - $399.99...............$30.00
$400 - $499.99...............$35.00
$500.00 + ......6% of total order

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ADDITIONAL INFORMATION/COMMENTS:

Do Not Send Your Credit Card Number - It will be taken when order is confirmed