Southeastern Furniture Order Form: Invoice #_________________

Qty.  

Model Number   

Description                                         

Price       

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Total

 


Name__________________________________

Ship to: (fill out only if different)

Address________________________________

Name_______________________________

City/State/Zip___________________________

Address_____________________________

Day Phone______________________________

City/State/Zip________________________

Night Phone____________________________

Contact Phone________________________

To order...please print, fill out order form and mail, along with merchandise payment, to:

  • Southeastern Furniture Internet Sales

  • Attn. : Mike

  • 3000 South Elm/ Eugene Street

  • Greensboro, NC 27406