Order Entry Form

  • MM slash DD slash YYYY
  • MM slash DD slash YYYY
  • Billing and Shipping Info

  • Delivery

  • Days/Hours of Delivery
  • Order Info

  • QtyItem NumberItem DescriptionFrame/Base ColorSlat ColorUmbrella Hole (Y/N)PriceAmountKD/Boxed (Y/N)Assembled (Y/N) 
    Frame and slat colors listed below. Please TYPE the frame and slat color of your choice in the appropriate fields. If color name does not reflect listed name, order will not be processed.

SAVE
up to
$1,000

On all Breezesta premium furniture.

Receive $100 rebate off every $1,000 spent. Minimum purchase to qualify is $1,000.

Sale Dates
February 1 - March 31, 2023

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