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Custom-Orders
· for New Customers
· for Existing Customers

 

 



If you would like to place a custom order with Fox-Rich, please use the form below.
(If you have ordered from us before, please click here for a simplified, existing customer order form.)

Customer Information
* Indicates a required field
Invoice to:      
Company Name* Telephone Number*
Address* Email Address*
  P.O. Number
City* Purchased by*
State* Salesperson's Name
Zip*    
       
Special Instructions
       
Ship to: (if different from Invoice information) Ship Via:  
Attention: Trucker Name
Company Name Trucker Contact Name
Address Trucker Phone Number
     
City Would you like Fox-Rich to choose a delivery service for you?  
State
Zip  
       
Order Information:
 
Style:
Description:
Quantity:
Price:
Date to be Delivered:
Style:
Description:
Quantity:
Price:
Date to be Delivered:
Style:
Description:
Quantity:
Price:
Date to be Delivered:
   
 
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Tel: (203) 438-3153  Fax: (203) 438-3803  Email info@fox-rich.com
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