• Print this form and fill out all information - Please PRINT clearly
  • We DO NOT ship to P.O. Boxes.
  • Phone number is required for order to be processed
  • We will contact you for shipping and processing charges *
    		•
  • If you have any questions or comments,
    please call us at 1-866-855-2284
    or email us at sales@signaturehardware.com.
  • Because of our store location we are required by law to collect
    6% sales tax on the merchandise total for shipments in Kentucky.**
  • Promotional Codes will be applied after we receive your fax or mail.***
    		•

    Ship To:

    Name___________________________________
    Company________________________________
    Address________________________________
    _______________________________________
    City___________________________________
    State_____ Zip_________ Country________
    Phone Number (_______) _______-________

    Bill To:

    Name___________________________________
    Company________________________________
    Address________________________________
    _______________________________________
    City___________________________________
    State_____ Zip_________ Country________
    Phone Number (_______) _______-________
    Items:
    ID Product Description Quantity Unit Price Total
    Summary:
    SubTotal $0.00
    Shipping Charges *  
    Sales Tax**  
    Order Total  
    Payment Method:
    Visa Mastercard American Express
    Discover Check/Money Order
    Credit Card Number: Expiration Date:
           
           
           
           
    		Month
       
    		Year
       
    CVV: Promotional Code: ***
         
                       

    Signature ________________________________________________
    Send Us This Form
    Fax to: 1-800-682-6826
    Mail to: Signature Hardware
    2700 Crescent Springs Pike
    Erlanger, KY 41017
    ;