Order Form

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Phone

Address

Cell

City

Fax

State

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Tile type:

Standard ($12.95 each)

Fire Rated ($19.95 each)

Please choose your color and pattern from the drop down list
Quantity		Color & Pattern	Price	Amount
	Tiles		price above
	Coffer and Filler Tile		price above
	Decorative Strips - Butt		$.95 ea.
	Decorative Strips - Grid		$.95 ea.
	Cornice Molding		$9.95 ea.
	Inside Corners		$6.95 ea.
	Outside Corners		$6.95 ea.

Special Instructions:			Subtotal
			Tax (VA only)
			Packaging	$10.00
			TOTAL

Orders may be emailed or faxed to (804) 550-7237. Please allow 2 - 4 weeks delivery for standard and 4 - 6 weeks delivery for special color or fire rated tiles. These products are "made to order" and are not returnable - all sales are final, no credits, refunds or returns. Sales tax of 5% will be charged for Virginia residents.