FAX FORM

World Upholstery & Trim  

Print this fax form, fill it in, fax it to us at our 24 hour fax number
1-805-921-0101
Name:____________________________________________________
Address:___________________________________________________
City:_____________________________State:________Zip:_________
Phone#:_______-_______-____________________________________
E-mail Address:______________________________________________
Make:______________________Model:_______________Year:______
Interior Color:______________________________________________
Notes:____________________________________________________
_________________________________________________________

Your information will be held in confidence and will not be shared with other vendors.

Call us at 805-921-0100 or 800-222-9577  8-5,  Pacific Time, Monday-Friday, for immediate assistance.

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10/09/2002
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