Palladian Order

NextDayDisplays 4-Panel Palladian Tabletop Fax Order Form

	Billing Address	Ship To, If different
Name
Company
Address
City
State/Zip
Phone
Fax
E-Mail

Credit Card Information

	Exp. Date
Card Number
Name on Card
Billing ZIP Code
Purchase Order #

Quantity	Description	Price	Total
	NDD 4-PanelPalladian Tabletop Display Includes 2 50W Halogen Lights -30 lbs	$685.00
	NDD 4-Panel Palladian Tabletop Display Includes 2 50W Halogen Lights & Molded Plastic Case - 46 lbs	$830.00
	NDD 4-Panel Palladian Tabletop Display Includes 2 50W Halogen Lights & Padded Nylon Bag - 35 lbs	$735.00

Black fabric with blue accent stripe and white header one side
and silver fabric with red accent stripe and white header on reverse.
Available to Ship Next Day.

Select Shipping Method, From Bolingbrook, IL

UPS Ground

Included

California Sales Tax will be added for shipments to California.

Thank you for your order.
We will confirm your order with the totals and shipping date by

E-Mail to the above address. Your credit card will be billed by

Easydisplays when the order is shipped.

2nd Day Air

$120.00

Next Day Air

$175.00

Please print out this form and fax it to (714) 464-4297, email PDF to mac@easydisplays.com

or call (800) 791-8852 (USA toll free) if you wish to place an order by phone.

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100 South Sunrise Way, Suite A-902
Palm Springs, CA 92262

Toll Free USA Phone (800) 791-8852 Fax (714) 464-4297
e-mail to mac@easydisplays.com