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(800) 645-5540

Company Information

Business Name   The Business Name field is required.  
Phone    (please do not use dashes in phone number)   
Fax     
E-mail   

Billing Information

Billing Address   The Billing Address field is required.
Billin City    State    Zip    The Billing City field is required. The Billing State field is required. The Billing Zip field is required.

Delivery Information

Delivery Address   
Delivery City    State    Zip   
 
Tax Indentification   The Tax Identification field is required. (please fax or email your resale tax certificate)

Owners/Principals Names

1. Name  Title
Address   
City    State    Zip   
 
2. Name  Title
Address   
City    State    Zip   

Accounts Payable Contact

Name   Title
Phone
Terms Requesting Proforma COD NET 30 Credit Card
IF CREDIT CARD TERMS PLEASE FAX US YOUR CREDIT CARD AUTHORIZATION FORM

Bank Information

Bank Name
Bank Account #
Bank Contact
Bank Address
Bank City State Zip

Trade Reference 1

Company Name
Address
City    State    Zip   
Phone  (please do not use dashes in phone number)
Contact Name

Trade Reference 2

Company Name
Address
City    State    Zip   
Phone  (please do not use dashes in phone number)
Contact Name

Trade Reference 3

Company Name
Address
City    State    Zip   
Phone  (please do not use dashes in phone number)
Contact Name

Trade Reference 4

Company Name
Address
City    State    Zip   
Phone  (please do not use dashes in phone number)
Contact Name

Sample Book Preferences

Please check all that may apply:
Always Seldom Never  
Prints
Solids
Sheers
Suede
Leather Hides
Vinyl
Silk
Wide Fabrics (118" etc.)
Contract
Upholstery
Linings
Trims
Other (Please list)

Note:

Line Items marked with (*) are required fields. Please scroll up and make sure they are filled out
 
 

FOR NEW YORK STATE ACCOUNTS PLEASE DOWNLOAD A RESALE CERTIFICATE FROM THE LINK BELOW, FILL OUT, SIGN AND DATE THE FORM

https://www.tax.ny.gov/pdf/current_forms/st/st120_fill_in.pdf
YOU CAN EMAIL IT, FAX IT OR USE THEN U.S. MAIL TO SEND US THE FORM
 
Fabricade, Inc.
Phone:631-563-7400 Orders Only: 800-645-5540 Fax:631-563-7489
Email: credit@fabricadefabrics.com
Executive Offices: 180 Keyland Court, Bohemia, NY 11716
Mail: P.O.Box 438, Bohemia, NY 11716