Create-A-Bed®

Fax/Mail Order Form

Please send Create-A-Bed® wallbed mechanism(s) in the following style(s) and size(s):

VERTICAL

HORIZONTAL

Quantity

Quantity
Twin size vertical
_______
Twin size horizontal
_______
Full size vertical
_______
Full size horizontal
_______
Queen size vertical
_______
Queen size horizontal
_______

Bed Light Kit

_______

Bookcase Light Kit

_______


_______ Mechanism(s) x $299.00 each =

$____________

_______ Bed Light Kit(s) x $79.00 each =

$____________

_______ Bookcase Light Kit(s) x $39.00 each =

$____________

 

Additional shipping charges apply to orders outside the United States.
Call or email for more information.

Billing Address

Shipping Address (If different than billing address)

**Note: UPS cannot deliver to a post office box

Name:___________________________________

Street:___________________________________

City:__________________________

State:______ Zip:_______________

Telephone:_______________________________

Name:___________________________________

Street:___________________________________

City:__________________________

State:______ Zip:_______________

Telephone:_______________________________
Credit Card:Mastercard Visa American Express Discover  
Exact Name On Card:
Credit Card Number: Expiration Date:

 

Orders can be mailed or faxed to the following address:
C.A.B., Inc.
4735 Poplar Level Road - Suite 3
Louisville, Kentucky 40213-248
phone: (502) 966-3852
fax: (502) 966-4979

Orders ship UPS (Shipping charges are included in price)

 

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