www.TheGatedArbor.com

Please print out this form and Fax or mail-in form only.
 
Do not Email as it is not secure by Email.

You may also call us with this information.
  

Card # _____________________________________________________

Expiration Date    ______/______

Name on card _______________________________________________

Billing address of card  _________________________________________

         City__________________   State___________ Zip _____________

Amount of payment $_________

Payment for ________________________________________________

Signature ___________________________________________________

Phone Number __________________________________

Please fax to: 262-392-3505 or call
Store # - Toll Free - 866-483-0356  or
Home # - 262-392-9127 

You may also mail form VIA snail mail to:

C A Designs
P O Box
North Prairie, WI 53153-0024

Thank You For Your Order