Customer Order Form
Ship To (If Different):
Company Name Or Individual Name Company Name Or Individual Name
Address Address
Address Address
CityStateZip CityStateZip

Ship Via:
PICK-UP
UPS
FREIGHT CO.
Telephone Number
Fax Number
P. O. Number Order Placed By
Date Comments


 Item #   Qty   Description         Size           Specie      Price      Total   
             
             
             
             
             
             
             
             
             
             
Order Total    
Freight & Packaging:  
We will determine the lowest cost method of shipping and packaging and these charges will  
be added to your invoice.  		  
TOTAL    
Payment Information
METHOD OF PAYMENT:
  MasterCard
  Visa
  Check or Money Order
NAME ON CARD:
CREDIT CARD NUMBER:
EXPIRATION DATE:
  –  
SIGNATURE:

Blackstone Stair & Millwork, Inc.
620 Moose Lodge Street   Morganton, NC 28655
Tel: (828) 433-4747        Fax: (828) 433-5490
"Quality Manufacturers of Fine Wood Products"