DiscountStove.com Order Form

Discount Stove and Fireplace

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Questions? Contact us at 1-888-737-5911 or by email.



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A note before you begin: Please print out this order form, fill it out by hand and fax it to: 231-946-3215.

Or, please have your order information ready and take advantage of our toll-free number: 1-888-737-5911.

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STOVE, FIREPLACE AND APPLIANCE ORDERING

MODEL DESCRIPTIONCOLOR/FINISHPRICE**
ACCESSORIES/OPTIONS:
ACCESSORIES/OPTIONS:
ACCESSORIES/OPTIONS:

ACCESSORIES ORDERING

ITEM DESCRIPTION/SIZEPRICE
Sub-Total:
Michigan Residents add 6% Sales Tax:
Total:


Credit Card Information
Card TypeName on CardNumberExp. Date3 Digit Code

Shipping Information
First Name
Last Name
Street Address

City, State, Zip
Country
Phone Number
E-Mail Address

Special Instructions

 

**Shipped to Your Door - Continental USA states only - some restrictions apply.

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Any questions? Please call us TOLL FREE at 1-888-737-5911
or Email.