ELDRIDGE TEXTILE COMPANY
FAX ORDER FORM
FAX TO: 732-544-4555
22 Meridian Road #3, Eatontown, NJ 07724

Telephone: 800-635-4399 Continental U.S. except NY area
Elsewhere: 732-544-4500
Email: online-order@eldridgetextile.com

Instructions: Please print out this form, then fill in all applicable fields and fax to our number above.

Billing Information: Name: _____________________________ Billing Address: _________________________ City and State: _____________________________ Zip Code: __________ Telephone Number: ________________ Email Address: _____________________________

Shipping Information: (if different) Name: _____________________________ Shipping Address: _________________________ City and State: _____________________________ Zip Code: __________ Telephone Number: ________________ Email Address: _____________________________

Qty.	Stock Number	Pattern and Description	Size	Color (if applicable)	Unit Price	Total Item Price
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Special Instructions:				Total Amount:		_
_				Shipping/Handling/Insurance: (see table below)		_
_				Add local sales tax if delivered in N.Y. State:		_
_				GRAND TOTAL:		_

When ordering sheets, please specify flat or fitted.

Return Policy: You may return any item for an exchange, refund, or a credit to your charge account less actual shipping and handling charges incurred by Eldridge Textile Company. All returns must be accompanied by a Return Authorization (RA) number. To obtain an RA number, please call Customer Service at 800-635-4399 between the hours of 9:00 AM and 5:30 PM EST or e-mail your request to custserv@eldridgetextile.com. Note: We do not charge a re-stocking fee. Items must be returned in their original packaging, within 30 days of delivery, with a copy of your receipt to ensure proper credit. We cannot accept returns of items that are used, laundered, soiled, or cut fabrics sold by the yard. Items that are special order are not returnable. Health regulations do not permit us to accept open packages of sheets or pillowcases for credit or refund. Ship returns prepaid and insured to the address indicated in the Return Authorization. Please write your RA number clearly on the outside of the package. Items returned without an RA number will be refused.

Method of Payment: Check ___ , Money Order (no COD's) ___ , VISA ___ , Mastercard ___ , Discover ___
If Check, please indicate name on check: _______________________
If Check or Money Order is selected, please mail your payment and this form to: ELDRIDGE TEXTILE COMPANY, 22 Meridian Road #3, Eatontown, NJ 07724.

Account Number:

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Signature: _____________________________

Expiration Date: __________

Eldridge Textile Company Inc. Guarantee: If you are not satisfied with your purchase, please return promptly in its original condition and we will gladly exchange the item or refund your money. Special order items are not returnable.

Shipping Charges-Continental US Only (48 States)

Division	U.P.S. Ground Service
Orders up to $40.00	$7.95
From $40.01 to $69.99	$9.95
From $70.00 to $99.99	$10.95
From $100.00 to $149.99	$13.95
From $150.00 to $199.99	$16.95
From $200.00 to $299.99	$18.95
From $300.00 to $399.99	$22.95
From $400.00 and over	6% of order total

Priority Mail, 2nd Day Air charges to Alaska, Hawaii, and Puerto Rico shipping and handling will be charged on actual weight of carton.

Canadian Delivery: Please call for additional shipping charges.

International orders must meet a minimum of $100.00 to qualify for international shipment.