Canvas Repair Order Form

 From King Richard Co.

You may type info into this form Online. Select Print Then Fax Or Mail This Order form to the Number Or Address below. 

Or Choose Our   Secure Online Order form

Fax To 1-978-681-4163 / 24 HOUR SECURE FAX LINE  Send E mail To : info@KingRichard.Net

 CALL OUR TOLL FREE ORDER LINE   ( 1-888-226-8270 ) Or  978-617-9175  . $ 25.00  MINIMUM ORDER.       

You may choose to mail this Order Form To  Address Below
 

Ship Canvas to Address below

King Richard Canvas Replacements

(Repair Department)

W2299 STATE HIGHWAY 98

LOYAL, WISCONSIN 54446

 

Send All other Billing And Payment Info To the Address Below

King Richard Co.  

P.O.  Box  883  No. Andover, Ma 01845

NAME EMAIL

ADDRESS

CITYSTATEZIP

PHONE

CREDIT CARD ( Visa, MasterCard, Discover, Amex )   
 

Credit Card #

EX DATE

( Please Double Check)

Please list Pop Up Canvas Info Below

 

Sub Total

30 % Restocking & Service Charge On All Returned Items

Shipping

Delivery Time May Vary between 1- 4 weeks

Total        

SIGNATURE_____________________________               Prices subject to change without notice

Shipping Charges may be applied to this Total

Final Price May Very Between $239.80 & $479.60 Depending on the Nature of the repairs.

A SIGNATURE IS REQUIRED & WILL CONSTITUTE THIS AS YOUR AGREEMENT TO PAY  TOTAL.