P.O. Box 1759
Basalt, Colorado 81621
(970) 927- 4996

This is an on-line order form.
Click here if you prefer to use a printable form.


Date:
Order#:
Ordered By:
Store:		 P.O.#:
Date Placed:
Customer:
COVER DESCRIPTION

1.SPECIFICATIONS

    Tub Shape:

    Tub Dimensions: (Corresponding to the diagrams to the right)

       
      Side A: inches This form requires all fields to be completed. Please place "N/A" in all areas that do not apply.
      Side B: inches
      Side C: inches
      Side D: inches
      Side E: inches
2.COLOR: 
 

3.SPA TYPE( CHECK ONE)

Portable 

In-Ground 

In-Ground with raised lip 
 
 

4.CUSTOMER INFORMATION:

Name:

Address: 

Phone: (Day): ()  (Eve): () 

E-Mail Address: 

5.PRICING INFORMATION:
Cost:$595.00 each
Shipping: (Anywhere in the Continental US. Please call for quote.)
________
Total Cost:
(Call or write for quote on special orders)
 

6.PAYMENT METHOD: 

7. Credit Card # 

8. Exp. Date 

For Credit Card Orders Add 3.5%

Important: This Form may take up to 2 minutes to process. Please be patient. 


BACK

Back To Home Page

Page Set designed by, and Internet Access provided by Tutt Enterprises