Amish Fireplace Order Form

To order an Amish Fireplace please fill out your contact information. Provide your Name, Address, Telephone Number (s) and E-mail. Type your message in the message box below.

Upon receiving your information, we will reply with actual Cost and applicable Freight Charges, to any destination in the Continental United States. We will use your telephone or e-mail address should it be necessary to contact you with additional questions so that we might give you an accurate price quote.

We have Credit or Debit Card capability, but suggest you use Personal or Company Check for payment, otherwise banks make money from legalized credit cards, plus collection of additional charges, with no effort on their part.

Note: Information which you have sent to the factory will not be considered an Official Order until we have combined all of the information, and properly request your Order Confirmation.

When you click the "Send" button your request will be
sent to the factory and we will contact you.

Phone Number:
   

Secondary Phone Number:
   

Designated Receiving Address:
   

City: State: Zip:


   

Repair?: