CEDAR ADIRONDACK FURNITURE ORDER FORM
1162 Oberon Drive, King Ferry, NY 13081  Tel: 315-364-6878 www.cedaradirondack.com
PRICES INCLUDE SHIPPING TO 48 STATES

Item Description                                                                 Quantity        Price             Total
Adirondack Chair _______ $225.00 $__________
Swing _______ $600.00 $__________
Loveseat _______ $475.00 $__________
Foot rest _______ $  95.00 $__________
Table _______ $110.00 $__________
Sub-total: $__________
New York state residents, please add sales tax: $__________
Grand total: $__________

Buyer's Name                                              _____________________________________________
Buyer's Street Address                                               _____________________________________________
Buyers City, State, Zip                                               _____________________________________________
Buyer's E-mail Address                                               _____________________________________________
Buyer's Phone Number                                               _____________________________________________
SHIPPING INFO
Recipient's Name                                                        _____________________________________________
Recipient's Street Address _____________________________________________
Recipient's City, State, Zip _____________________________________________

If you would like us to include a Gift Card please write your message here:



PAYMENT
by Credit Card: Please circle VISA or MASTERCARD
Card Number:  ________  -  ________  -   ________  -  ________   Expiration date: (MM/YY)  ____  /  ____

Or make check Payable to:  CEDAR ADIRONDACK FURNITURE

Thank you for your order!