WEBSITE
ORDER FORM
www.BMCflooring.com
sales@BMCflooring.com
STANDARD WEBSITE (Free)
800-476-6028
fax 706-277-3307
CUSTOM WEBSITE (Starting at $249)
Name as it Appears on Samples: ______________________________________________
STORE ADDRESS: (for Google Maps on Contact Page)
STREET: ____________________________
CITY: _________________________
STATE: __________ ZIP: _______________
PHONE(S) & EMAIL:
Main: ______________________
Fax: _______________________
Mobile: _____________________
Email Address: ___________________________________________
HOURS:
Monday-Friday: _________ to _________
Saturday _________
Sunday _________
_____________________________________
Authorized Signature
__________________
Date
* You will be notified via email when your website has been created. This process may take up 3 weeks to
complete from date received. Please Print legibly and fax or mail into our office.
MAIL OR FAX COMPLETED FORM TO OUR OFFICE