All orders must have a form of payment. No order will be sent without invoice being paid in full. We accept Visa, MasterCard and American Express.

You may order a choice of designs, sizes and styles. Colors may look slightly different from the web site and shades may vary with different labels. The wood on the sides will vary and and may have slight imperfections which add to the uniqueness of these products. Please be advised we will not take returns or exchange items with shades that vary and because of the slight imperfections of the wood sides. By submitting this form you agree to these terms. Our product is not recommended for outdoor use and should only be cleaned with a dry or lightly damp cloth. Please do not serve food directly on the surface
of the art or cut directly on the surface.

If your establishment is interested in retailing products from Darrellene Designs, please fill out our form below. Upon review of your application, we will contact you. Please allow one week for this process.

* indicates a required field.

 

First Name: *
Last Name: *
Title:
Company: *
Street Address: *
Address Line 2:
City: *
State/Province: *	(please select a state or province) none Alabama Alaska Alberta Arizona Arkansas British Columbia California Colorado Connecticut Delaware Florida Georgia Hawaii Idaho Illinois Indiana Iowa Kansas Kentucky Louisiana Maine Manitoba Maryland Massachusetts Michigan Minnesota Mississippi Missouri Montana Nebraska Nevada New Brunswick New Hampshire New Jersey New Mexico New York Newfoundland and Labrador North Carolina North Dakota Nova Scotia Nunavut Ohio Oklahoma Ontario Oregon Pennsylvania Prince Edward Island Quebec Rhode Island Saskatchewan South Carolina South Dakota Tennessee Texas Utah Vermont Virginia Washington Washington D.C. West Virginia Wisconsin Wyoming
Postal/Zip Code: *
Country: *	(please select a country) none American Samoa Antigua and Barbuda Argentina Aruba Australia Austria Bahamas Barbados Belgium Belize Bermuda Bolivia Brazil Canada Cayman Islands Chile Colombia Costa Rica Czech Republic Denmark Dominica Dominican Republic Ecuador El Salvador Finland France Germany Greece Guadeloupe Guatemala Honduras Hungary Ireland Israel Italy Jamaica Liechtenstein Luxembourg Martinique Mexico Monaco Netherlands New Zealand Nicaragua Norway Paraguay Peru Poland Portugal Puerto Rico Romania Saint Kitts and Nevis Saint LUCIA Spain Sweden Switzerland Trinidad and Tobago Turks and Caicos Islands United Kingdom United States Uruguay Venezuela Virgin Islands (British) Virgin Islands (U.S.)
Telephone:
Email Address: *
Web Site:
Tax ID Number: *

Please tell us a little about your company:

Additional Comments or Questions: