Order Carpet Form

If you have received a quote from OrderCarpet.com and you are now ready to place your order please complete this form. If you would like to order Braided Rugs, please go to the Braided Rug order form.

Please check your quote to make sure that it is exactly what you want to order and that the delivery address is correct. If you need to change something, you will need to request a new quote. Your credit card will be charged the exact amount stated on your quote as soon as your order is shipped.

If you have not yet requested a free no-obligation quote from OrderCarpet.com, please do so now by going to the Get a Quote page.

Required fields are marked with (*).

Billing Information
*Street address:
Address (cont.):
*Zip code:
Work Phone:
*Home Phone:
Payment Information
Payment type: Check    
Card type: Visa
Card Number:
Expiration date: