HA90R Rolfing Table Upholstery Order

Please review your order:

Customer Info

Name: {Name (First):21.3} {Name (Last):21.6}
Email: {Email:23}
Phone: {Phone:24}

Shipping Address:
{Shipping Address (Street Address):25.1}
{Shipping Address (Address Line 2):25.2}
{Shipping Address (City):25.3}, {Shipping Address (State / Province):25.4} {Shipping Address (ZIP / Postal Code):25.5}

Payment method: {Payment method:46}


Order Info

Serial number: {Serial Number:35}

Vinyl type: {Vinyl Type:17}
Vinyl color: {Vinyl color:16}
Matching original color? {Matching original color?:55}

Table width: {Table width:20}

{order_summary:cushion_order}
Order notes:
{Order notes:56}