Canvas Repair Order Form

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 : Orderinfo@KingRichard.CC

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.