Customer Order Form

Customer Order Form
Name

PrefixFirst NameMiddle InitialLast Name
Company Name
Address

Street Address

Street Address Line 2

Parish
Primary Phone Number
Format: (000) 000-0000.
Other Number
Email
example@example.com
Please indicate items & descriptions
Total Budget (Inclusive of freight & applicable charges)
Classification
Preferred Mode
Add Ons
Payment Terms

Clients are required to pay upfront the cost of goods and 70% deposit towards shipping costs for items to be released for shipment. The remaining balance must be paid upon delivery or pick-up.

Policy

Deposits are forfeited if client cancels after purchasing and logistics transactions have occurred. If D2 Lifestyle Imports breaches, we will refund clients any monies paid. You will be required to pay all charges imposed by The Barbados Port Inc and The Customs & Excise Department. By filling this form you verify all information is accurate and accept the terms and policies.
Signature
Date

DayMonthYear
2 digit day, 2 digit month, 4 digit yearDate
Should be Empty: