BBR Woodworks
5545 Anne Street
Coeur d' Alene, ID  83815

Order Form

Please print this form, select the appropriate items and options, and mail it with your deposit to the address above.

               Name__________________________________________________________________________________________                Shipping Address_________________________________________________________________________________                City______________________________________________________State______Zip Code____________________
               Home Phone____________________Cell Phone____________________Email________________________________

Product Selection

                [  ] Standard (14 inch square seating area)...........$160.00    [  ] Deluxe (14 inch x 28 inch seating area).....$200.00
                [  ] Cello Bench (5 degree slanted seating area)...$180.00    [  ] Stage Model Guitar Stand.............................$ 85.00
                [  ] Storage Compartment w/Openable Lid...............$75.00   [  ] Full Size Adjustable Guitar Stand..............$ 150.00
                [  ] Sheet Music Storage End Table..........(Call for pricing)    [  ] Guitar Footstool.......................................$85.00
                [  ] De Gala Inlay Bench..............................(Call for pricing)    [  ] Adjustable Bench...........................(Call for pricing)
                [  ] Douglas Economy Bench.......................(Call for pricing)         [  ] Adjustable Cello Stand.....................$175.00

     Type of Apron:        [  ] Standard        [  ] Colonial        [  ] Victorian

     Please specify your choice of wood:                                                   

        [  ] Alder                                                                                                                                  [  ] Mahogany
        [  ] Walnut                                                                                                                               [  ] Maple                                                              
        [  ] Cherry                                                                                                                               [  ] PurpleHeart
        [  ] Bubinga (additional $20.00)                                                                                          [  ] Oak
        [  ] Other (Call for pricing and availability):______________________                 [  ] Douglas Fir

     If you would like a stained finish, please select one of the finishes listed below.
     Stained finishes are an additional $25.00 and are not available for maple and purpleheart:

        [  ] Dark Walnut         [  ] Red Mahogany         [  ] Golden Oak         [  ] Aged Cherry
        [  ] High Gloss Ebony (additional $75) Think Steinway!   [  ]Other_____________________

     If you would like a cushion, please select one of the materials listed below.
     Cushions are an additional $30.00, except for leather upholstered cushions, which are an additional $60.00:

              [  ] Tapestry         [  ] Leather         [  ] I will provide my own material

     Please specify print or color of material selected:___________________________________________________

     Please specify your ideal seating height:    _____inches

     Any other special requests? __________________________________________________________________

     [  ] I have enclosed a $50.00 deposit in the form of a check or money order and understand that the remaining
         balance is due within 7 days after receiving product.

     Signature__________________________________________________     Date:________________________________

~ Thank You for choosing BBR Woodworks. We value you and your business! ~