Order Form

   secure page
*mandatory field
Customer Address Shipping Address (if different)
Name:* Name:
Company Name: Company Name:
Address:* Address:
City:* City:
Prov/State:* Prov/State:
Postal/Zip:* Postal/Zip:
Country:* Country:
Tel:*   Tel:  
Fax:   Fax:  
Email Address:*

Wallpaper Samples cost $6. each, which includes delivery by mail. Do not add delivery for sample orders.
Quantity
 
Wallpaper or Samples? 
Design Name
Product Number
 
Price
Total
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
Delivery and Insurance: Please click on our Delivery Rates charts for Wallpaper Orders  and fill in the cost on this line.
------------------------------------------» 
Wallpaper Samples cost $6. each, which includes delivery by mail. Do not add delivery for sample orders.
Subtotal:
$0.00
Delivery and insurance:
 B.C. residents only PST 7%
$0.00
Canadian residents only GST 5%
$0.00
This total is in Canadian dollars. Please use our Currency Converter page to see the US dollar amount.
 
 TOTAL
$0.00

Payment Type:  
Card Number:   no spaces
Card Validation Code: (3 digit code from back of card)
Name on Card:  
Billing Address for Card:

 
OR Same as Customer Address

Expiry:    

Return Policy:
There are no returns on Wallpaper. Please buy a sample first to ensure you are happy with the wallpaper before you purchase it

I have read and accept the Return Policy*  

Special Instructions or Comments: 

Please print this page for your records before you click "Submit"

 

Please wait for order confirmation to appear. This may take a moment or two.
If your email provider uses verification (such as earthlink.net) or a spam filter, please add onlineorders@charlesrupert.com to your approved contacts or address book.

Thank you for your order.
We will review your order and respond within two business days
   
 

Back to Top