R E Q U E S T  F O R  S A M P L E S



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          City:            *     Please enter your complete mailing address.
          State/province:  *     Boxes marked with * are required!
          Country:               There is no charge for samples, but we ask that
          Zip Code:        *                that you remit $8.50 for priority mail in the USA  
          email address:   * Requests outside of the USA will be by quotation only.  
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           WP 351 2-1/2 in. casing     WP167 Base Cap
           WP 444 3-1/4 in. casing     6-1/8 in. crown
           Elkhorn Base                WP51 crown
	   3-1/2 in Eased Edge Casing  WP48 4-1/4 in. crown
           WP444 3-1/2 in. base        WP59 2-1/4 in. crown
           5 in. 280 base              WP76 1-5/8 in. crown     PLEASE  CHECK  YOUR  CHOICE(S)
           3-1/2 in Eased Base         Victorian Picture Rail
           4-1/4 Ogee Base             3/8 x 1-1/4 Parting Bead
           6 in.Victorian Base (1/2)   1/2 x 1-1/4 Parting Bead
           Victorian Base Cap (2/2)    WP390 chairail
           V-groove paneling 4-5/8     V-groove paneling 5-1/4
           Beaded Paneling_3-1/4 face  Base Cap 3/4 x 1-1/8 
           4 inch flooring             5 inch flooring
           3 inch flooring





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          How do you wish to pay for shipping and handling?  If by credit card, please fill in
          all necessary information below!
          Alternatively, you may may mail a personal check or money order for $8.50 to:	

		Richard's Tile & Hardwood Inc.
		2200 Lea Avenue	
                Bozeman, MT  59715
          We will be happy to refund your sample shipping cost with any order exceeding $99.00!


          Yes, please charge to my credit card
          Credit Card Number 
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          Name on credit card if different from above 
          Ein number(last 3 digits on back of card, 4 if Amer. Exp)