Legacy Strong Furniture Order Form
Each form is for one item type. If you would like to order multiple types, you must fill out multiple forms.
Customer First Name *
Your answer
Customer Last Name *
Your answer
Customer Email Address *
Your answer
Customer Phone Number *
Your answer
Item Type *
Rope Color or Fabric Color Description? ( for non-offered colors, please send a picture to lekedra@micamped.org) *
Your answer
Do you want legs or Wheels? *
Delivery or Pick-Up *
Delivery address (include apt number if applicable, city, state, and zip code). Delivery currently Available in Orleans, Jefferson, St,Tammany, and St.Bernard Parish. All outside parishes must pick-up items.
Your answer
Processing Time
Billing Address (include apt/suite number if applicable, city, state, and zip code)
Your answer
Payment Type *
Total to be charged (amount must be calculated by MIC Rep) *
Your answer
Submit
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