Ransomette Order

A Classic Today ... An Antique Tomorrow!

RANSOMETTE - ORDER FORM

OF INTEREST

Completing and submitting this form will send an order to us. If do not wish to order at this time, use your browser's Back button or click on one of the buttons on the navigation bar on the left.

We do not take payment information over the internet, once received we will contact you personally to confirm your order and obtain payment information.

Most of the fields below are required and are marked with an * .

What Size are you ordering

Qty

Select the size your want by clicking on the arrow.

How to Contact You

*	Name
*	Address

*	City
*	Prov/State
	Country
*	Code
*	Home #	example 604-533-1343
	Work #	(daytime number)
	Fax #
*	E-mail

If this is not the ship to address, just let us know when we call.

Special Instructions

Please let us know any special requirments you may have.

Thank you!


Custom Made	As each of our beds is customized to fit, after receiving your order we will contact by phone or e-mail for more specific details.
Rather Fax it!	Print, fill out this form and fax to: (604) 533-0847
Business Hours	Monday to Friday (except holidays): 8:00 am - 4:30 pm PST

LAWRENCE BRADLEY BRASS BEDS
6263 - 202 Street, Langley, British Columbia, V2Y 1N1 Canada	Tel: (604) 533-1343 Fax: (604) 533-0847

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Looking for Brass Rail Components or Custom Brass Fittings ? Check out our sister company, B & L Brassworks at www.brassrails.com