Carpet Services - Payments

Email(Required)

Order Number(Required)

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Section Break

Selling Company

Inspect before cutting. No claims for damaged or defective material will be honored after the material has been cut or installed. As with all patterned material, a perfect pattern match at seams or joints, may not always be possible due to inherent characteristics of the manufacturing process. Reasonable pattern match may be obtained by trained experienced professional installers. Exact pattern match cannot be guaranteed.

I acknowledge I will inspect all material before cutting and only cut and or install that material which is acceptable and correct.(Required)

I acknowledge I will inspect all material before cutting and only cut and or install that material which is acceptable and correct.

******IF ANY PRODUCT IS MISSING OR DAMAGED, PLEASE NOTE ON FREIGHT BILL******

I have read the above statement and understand the statement above.(Required)

I agree to check my order when it is delivered and will note on the freight bill if anything is missing or damaged.

Ship To

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Sold to Name

First Last

Ship To Address(Required)

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

Sold To / Bill To

Sold To / Bill To Address(Required)

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

Order Total

Price:

Order Total(Required)

I agree the Order Total is correct and that this will be the amount charged to my card.

Credit Card

American Express

Discover

MasterCard

Visa

Card Number

Expiration Date

Security Code Cardholder Name

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Style

Total

Digital Signature(Required)

Digital signature Agreement

I agree that by typing my name in the space this serves as my digital signature for the credit card charge above

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Capture ID

Please Upload ID(Required)

Max. file size: 512 MB.

Please Upload Picture of Credit Card(Required)

Max. file size: 512 MB.

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Location - City

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Location state

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