WHOLESALE CATALOGUE
REQUEST FORM

1. Your information
Required fields are shown with an *

e-mail address must be given

Company Name :
Address * :
City * :
State :
Zip/Postcode :
Country * :
Telephone * :
Fax :
Person To Contact  * :
Title :
E-mail Address * :
URL :

E-mail address must be give or we will
not be able to reply to your requests

Please tell us what type of business your are in:

    Import Export
    Manufacturing Wholesale
    Mail Order Retail Shop
    Chain/Department Store Not Yet
    Auction

Other type of business (please specify) :

2. Product Details

Please tell us what type of products you are interested in:
Reproduction Furniture Colonial Pine
Colonial Teak Painted/ Whitewash
Teak Garden Woven Furniture
Accessories

Please send me :
FOB Prices (Select Quality) FOB Prices (Regular Line)
Catalogues Just Call Me

Would you like to receive notification of
updates to our Catalougue and web site:
Yes No

Please tell us what type of Operating System do you use:

Windows 3.5 Macintosh OS 9
Windows 95 Mac OS X
Windows 98 Unix / Linux
Windows NT Web TV
Windows XP Other

Could you please tell us hou you found our web site:
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Catalogue Yahoo.com AOL.com
Trade Show Altavista.com MSN.com
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Other Looksmart.com Excite.com

Other comments / information :

We will have a direct importer contact you in your region.