Orion A leader In Decorative Drapery Hardware, wood drapery sets, iron drapery hardware
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Trade Registration
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Company Name *
Contact Person *
Title *
Year of establishment*
Brief description about your company's area of activities *
Presence in *
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Address 1 *
Address2
City *
State (* U.S. Only)
Province (* Canada Only)
Country *
Zip Code *
Phone (Office) * - - Ext.
Phone (Mobile) - - Ext.
Fax - -
Email Address *
Website Address (if any)
Federal Tax ID # *
How did you learn about Iron Art? *  
Please indicate if you have previously utilized Iron Art products *
Source Purchased From
Payment Preference:(Please Check One) *

Advance Against Proforma Invoice

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Credit Card
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Expiry Date (MM - YYYY) *

Name as on your Card *

Card Number *
Credit Card Billing Address *
Street Address 1*
Address2
City *
State *
Zip Code *
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I agree to Orion referring this form to a company distributor located close to our location. I understand we will have full access to the showroom facilities and will receive customer support from the distributor.

I authorize Orion Ornamental Iron, Inc. to add $ 1.00 to each invoice as contribution to the Orion Green program. I understand Orion will match $ 2.00 per paid invoice and donate the proceeds to Earth Island Institute

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