REQUEST FORM
Nininger & Co., Ltd.
*Furniture Makers*
REPRESENTED BY:

Your Name: Date:

E-Mail Address:
                                                          Ordered by:          
                                                                                                            

Ship To: (Recipient Name)           Contacts Name: 

Street:    City:  State:  Zip:  

Phone Number:    Shipping Instructions:

Mark For:(Client/Room)          

Request For: Quote Invoice Order File        Priority: High Medium Low          Need by:          Time:

Notes:

Style#Photo# Stock# List Price: Special Notes:
Style#Photo# Stock# List Price: Special Notes:
Style#Photo# Stock# List Price: Special Notes:
Style#Photo# Stock# List Price: Special Notes: