Use this form for offline ordering

Don't like online ordering? Call us at 1-720-406-7873 (Mon.-Fri. 9am-9pm ET). W'ell take your order over the phone, or print out this order form and fax it to 720-406-7874 or mail it to the address below.

	Mail your order to: HomeBlvd 250 Valley Lane Boulder, Co. 80302 Secure Order Online with your credit card Anytime - www.HomeBlvd.com Fax your order anytime - 1-720-406-7874 Customer Service - 1-720-406-7873 - 9am - 7pm MT Mon.-Fri.. email: info@homeblvd.com
Ordered By:		Ship to: If different. To send a gift, use the gift section below.
NAME		NAME
COMPANY	Floor	COMPANY	Floor
ADDRESS	Apt. No.	ADDRESS	Apt. No.
CITY	State Zip	CITY	State Zip
Please note: UPS will not deliver to P.O. Box
Daytime Phone No. ( )		Daytime Phone No. ( )

Payment Method

Check or Money Order Visa Mastercard Amer. Express & Optima Discover

Credit Card Number
(We need your exp. date and signature to ship your order.) Expiration Date

Signature________________________________________

Email Address_________________________________________

Size	Item No.	Color	Item Description	QTY	Price each	Total Price







LET US SEND YOUR GIFTS FOR YOU! Fill out section below (we'll include your gift message)

Gift Sent To			Gift From
Address			Gift Message
City	State	Zip

Size	Item No.	Color	Item Description	QTY	Price each	Total Price

Shipping & Handling Charges Up to $19.99 $7.95 $20.00 to $49.99 $10.95 $50.00 to $99.99 $15.25 $100.00 to $199.99 $26.95 $200.00 and over $39.00	Additional Charges Next day Air, Add $15.00 OR 2nd day Air Add $10.00 per shipping address in addition to our regular shipping charges. Alaska, Hawaii and International excluded.	Merchandise Total
		Shipping & Handling (use S&H chart at left)
		Express Shipping (use Addt'l Charges chart at left)
		Subtotal
		Sales Tax (on subtotal)Shipments in CO (7%)
		Order Total

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