Kuehn Bevel Order Form

*Required fields
Date
Company
Address
City	State	Zip
*Contact Name
*Phone	Fax	*Email
PO Number	Job Name
Your Distributor	City Location
Your Account Number
For your convenience a copy of this order will be forwarded to your Distributor
Ship my order to my Distributor with his next shipment Ship my order directly to me, I understand there is a minimum shipping fee of $76.13 for this service Cut my moldings to 8' and ship my order directly to me, I understand there is a minimum shipping fee of $40 for this service Rush my Order, I understand there is a 50% up charge for this service Rush my Order, and ship my order directly to me. I understand there is a 50% up charge for this service, and I agree to pay for the shipping fee

Laminate Edge Products
Submit a separate order for each color combination
Qty
Type 1	Type T	Type 3	Type 4
Backsplash 3/4	Backsplash w/scribe
Royal Edge	High Apron Single Bevel		High Apron Double Bevel
Baseboard	Chair Rail