Casa Decor Imports custom order form

CUSTOM ORDER FORM
This form is for gathering custom orders and providing you with an approximate delivery date and price quote. If you have an item you would like for us to bring to you from abroad, please fill out the form below so that we may determine if we can help you. If you have a good idea of where the manufacturer is or what area of one of the listed counties below your item can be found in, please inform us in the optional description field below. You can also call us at 541.385.0110 if you prefer.

Name:

Company:

Phone:

Fax:

E-Mail:

Address:

City:

State/Zip:

Info 1:

Info 2:

Intended distribution:
This will be for resale
This if for me
This is a gift
This if for my business

Urgency:
I need this soon
In the next few months
On your next shipment
I have just been thinking about this

Quantity needed:
I need one of this item
I need 2 - 6 of this item
I need a larger quantity

From what country:

Description of requested item/items:

Additional Description or Comments Please Include Country of Origin, Dimensions, Weight, materials, and nature of intended use: