Use the following order form to place your order. Simply complete the form and press the “print this order form” button, then mail it with your payment to

RV Furniture, 1003 390th, Ave., Victoria, KS 67671

Description:

Drop Leaf Dining Table

Weight:

55 lbs

SELECT TYPE OF WOOD:

  Oak $292.50 sample

  Ash $280.50 sample

  Dark Maple $339.80 sample

  Light Maple $339.80 sample

SHIPPING INFORMATION:

Name:

Address:

Phone:

City:

State:

Zip Code:

PAYMENT INFORMATION:

Payment Option:

 Personal Check

 Money Order

TOTALS:

Product Cost: (enter total cost based on type of wood)

$

Shipping and handling cost:

$

95.00

Sales Tax: (Kansas residents add 5.30% to Product Cost)

$

Total amount due:

$

Please make your check or money order payable to RV Furniture and mail the completed order form and payment to 1003 390th, Ave., Victoria, KS 67671

Print This Order Form

Thank you!

Please call us with any questions.