Date: ______________
Ship Via:
Our Truck Pick Up UPS
PO Name: ___________________
Porta Door Order #: _______________
Sold To: ________________________________________
Phone: _________________________________________
Address: _______________________________________
Fax:_ ___________________________________________
City: ________________ State: _______ Zip: __________
Email: _________________________________________
Material Thickness
Wood Material
Panel Type
Door/Drawer Front Design
Mould
Lip
4/4
5/4
Options (Circle) Drawer Fronts
Special Notes
Options (Circle) Drawer Fronts
Special Notes
Qty
Width
Height
Qty
Width
Height
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Notes:
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Additional Options: Complete Polish & Sand
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☐ Yes
☐ No
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Finish: ☐ White Prime
☐ Clear
☐ Stain
☐ Paint
Paint/Stain Color Code: ______________________
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Drill for Hinges? ☐ Yes ☐ No Top & Bottom to Center of Hinge Hole : __________
Reduced FF Please read acknowledgment for conditions of sale, terms, and guarantee
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