jd order form - cisco brothersciscobrothers.com/reps/cb_jd_order_form.pdf · john derian furniture...

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ORDER FORM contact fax email bill to rep date of order customer buyer contact telephone telephone FOB - High Point, NC - Shelba D. Johnson Los Angeles, CA - American West or Trail lines PO# ship to S/M exp. date card no. payment method: Visa MasterCard Dromedary Love seat Fritillaria Chair Coop Chair 9ft Field Bench 9ft Field Bench with back Fritillaria Chair slipcover 6ft Field Bench 6ft Field Bench with back Cove Sofa Geranium Sofa Dimensions: 56” w x 26” d x 33” h Upholstery: 54” fabric,5 yards Slipcover: 54” fabric, 8 yards Fabric Qty Price Dimensions: 32” w x 34” d x 37”h Upholstery: 54” fabric, 7 yards Dimensions: 9” w x 27” d x 22” (arm height) Upholstery: 54” fabric, 8 yards Dimensions: 9” w x 27” d x 22” (arm height) Upholstery: 54” fabric, 11 yards Dimensions: 6” w x 27” d x 22” (arm height) Upholstery: 54” fabric, 7 yards Dimensions: 6” w x 27” d x 22” (arm height) Upholstery: 54” fabric, 9 yards Dimensions: 72” w x 32” d x 31” h Upholstery: 54” fabric, 11 yards Slipcover: 54” fabric, 11 yards Dimensions: 32” w x 34” d x 37” h Slipcover: 54” fabric, 9 yards Dimensions: 74” w x 27” d x 36” h Upholstery: 54” fabric, 11 yards Slipcover: 54” fabric, 11 yards Dimensions: 30” w x 33” d x 30.5” h Upholstery: 54” fabric, 3 yards Dimensions: 26” w x 28” d x 37” h Upholstery: 54” fabric, 5 yards Meadow Sofa Dimensions: 74” w x 27” d x 36” h Upholstery: 54” fabric, 11 yards Slipcover: 54” fabric, 11 yards Field Ottoman Dimensions: 36” w x 24” d x 16” h Upholstery: 54” fabric, 3 yards Fabric Qty Price Fabric Qty Price Fabric Qty Price Butterfly Chair Fabric Qty Price Fabric Qty Price Fabric Qty Price Fabric Qty Price Fabric Qty Price Fabric Qty Price Fabric Qty Price Fabric Qty Price Fabric Qty Price Thorn Tail Wing Back Chair Tulip Chair Tete-a-Tete Chair Dimensions: 32” w x 36” d x 45” h Upholstery: 54” fabric, 8 yards Fabric Qty Price Dimensions: 30” w x 32” d x 33” h Upholstery: 54” fabric, 6 yards Dimensions: 50” w x 28” d x 34” h Upholstery: 54” fabric, 10 yards Fabric Qty Price Fabric Qty Price FOB - Hackensack, New Jersey - FJD John Derian Furniture Collection by

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ORD

ER F

ORM

contact

faxemail

bill to

rep date of order

customer

buyer

contact

telephonetelephone

FOB - High Point, NC - Shelba D. JohnsonLos Angeles, CA - American West or Trail lines

PO#ship to

S/M

exp. datecard no.payment method: Visa MasterCard

Dromedary Love seat

Fritillaria Chair Coop Chair

9ft Field Bench 9ft Field Bench with back

Fritillaria Chair slipcover

6ft Field Bench 6ft Field Bench with back

Cove Sofa Geranium SofaDimensions: 56” w x 26” d x 33” h

Upholstery: 54” fabric,5 yards

Slipcover: 54” fabric, 8 yards

Fabric

Qty

Price

Dimensions: 32” w x 34” d x 37”h

Upholstery: 54” fabric, 7 yards

Dimensions: 9” w x 27” d x 22” (arm height)

Upholstery: 54” fabric, 8 yards

Dimensions: 9” w x 27” d x 22” (arm height)

Upholstery: 54” fabric, 11 yards

Dimensions: 6” w x 27” d x 22” (arm height)

Upholstery: 54” fabric, 7 yards

Dimensions: 6” w x 27” d x 22” (arm height)

Upholstery: 54” fabric, 9 yards

Dimensions: 72” w x 32” d x 31” h

Upholstery: 54” fabric, 11 yards

Slipcover: 54” fabric, 11 yards

Dimensions: 32” w x 34” d x 37” h

Slipcover: 54” fabric, 9 yards

Dimensions: 74” w x 27” d x 36” h

Upholstery: 54” fabric, 11 yards

Slipcover: 54” fabric, 11 yards

Dimensions: 30” w x 33” d x 30.5” h

Upholstery: 54” fabric, 3 yards

Dimensions: 26” w x 28” d x 37” h

Upholstery: 54” fabric, 5 yards

Meadow SofaDimensions: 74” w x 27” d x 36” h

Upholstery: 54” fabric, 11 yards

Slipcover: 54” fabric, 11 yards

Field OttomanDimensions: 36” w x 24” d x 16” hUpholstery: 54” fabric, 3 yards

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Butter�y Chair

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Thorn Tail Wing Back Chair Tulip Chair Tete-a-Tete ChairDimensions: 32” w x 36” d x 45” h

Upholstery: 54” fabric, 8 yards

Fabric

Qty

Price

Dimensions: 30” w x 32” d x 33” h

Upholstery: 54” fabric, 6 yards

Dimensions: 50” w x 28” d x 34” h

Upholstery: 54” fabric, 10 yards

Fabric

Qty

Price

Fabric

Qty

Price

FOB - Hackensack, New Jersey - FJD

John Derian Furniture Collection by

Leaf Dining Chair Cricket Folding ChairDimensions: 16” w x 21” d x 37”h

22” seat height

Upholstery: 54” fabric, 1 yard

Dimensions: 18” w x 23” d x 31.5”h

19” seat height

Upholstery: 2 yards

Plume Chair Dimensions: 17” w x 19” d x 34.75” h

Upholstery: 54” fabric, 1.5 yards

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Pond Chaise

Coin Half SofaCoin 2pc Sofa

Dimensions: 31” w x 37” d x 61”h

Upholstery: 54” fabric, 11 yards

Dimensions: 60” dia x 60”d

Slipcover: 54” fabric, 8 yards

Dimensions: 60” w x 30” d x 39” h

Upholstery: 54” fabric, 4 yards

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Chickadee Rocker Dimensions: 27” w x 29” d x 34.” h

Upholstery: 54” fabric, 6 yards

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Price

Mignonette Chaise Dimensions: 22” w x 52” d x 17” h

Upholstery: 54” fabric, 4.5 yards

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Petite Chaise Dimensions: 22” w x 52” d x 20 ” h

Upholstery: 54” fabric, 4 yards

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Price

John Derian Furniture Collection by