PO Box 610323
Birmingham, Alabama  35261
Phone:  205.833.8700
Toll Free Phone:  800.451.6127
Fax Order Line:  205.833.1881
Email:  AlphaSales@bham.rr.com

Email Order Form

Instructions for Use:
  • MINIMUM MERCHANDISE ORDER REQUIREMENT IS $50.00.
  • PLEASE NOTE:  This is NOT a secure form.  Therefore, we do not request any billing or credit card information from you here.
  • Terms and Conditions of Sale
  • Please fill in all of the information requested below using your TAB key to move from box to box. (Using the ENTER key will result in premature submission of your order.)
  • Items marked with asterisks (**) are required.
  • After completing the form, use the submit button to send your order to us.  Print a copy of the completed order form for your records.
  • You will receive a confirmation page verifying that your order has been received.  If you receive any page other than a confirmation, please resubmit your order.  The submission process may take up to a few minutes depending upon the speed of your connection and other factors.
  • Upon receipt of your order, will will contact you via email and/or by phone to:
    1. Verbally confirm receipt of your order;
    2. Advise you of product availability, cost and applicable shipping charges;
    3. Arrange for payment and delivery.
  • Merchandise that must be special ordered is non-returnable.  All special order sales are final.
Your Name: ** Last: First:
Email Address:  **
Company Name:
Street Address: **
Is this a residence? **    (Sorry, UPS will not deliver to a P.O. Box)
City: **
State/Province: **
Zip/Postal Code: ** -
Country: **
Day Phone: ** Area Code    Phone 
Customer Status: **
Product Number Description Qty. Price Ea.

SPECIAL INSTRUCTIONS/COMMENTS or QUESTIONS:


Message


Thank you for choosing Alpha Store Fixtures, Inc.