Great American Woodies - Discount Coupon

ABOUT RICHEY INDUSTRIES CATALOGS TRADE SHOWS PRESS RELEASES HOME

To qualify for your $100 OFF Coupon on your next quailifying order of Great American Woodies casual furniture, you must complete the
following short questionnaire. Only fully completed forms will qualify for the discount coupon.

Once you SUBMIT your form, you will be re-directed to a page which includes your $100 OFF coupon. Dealers MUST include this coupon
with your next qualifying order to receive the discount.

*Bold text indicates required information.

*First Name:

*Last Name:

*Store/Dealer Name:

*Address (Line 1):

Address (Line 2):

*City:

*State:

*Zip:

*Phone:

*E-mail Address:

*Confirm E-mail:

*1. What best describes your business?
      Casual Furniture Dealer
      Furniture Store
      Specialty Retailer
      Hardware/Homecenter

*2. Do you currently offer casual furniture?
Yes No

If you answered yes to question #2, please check all that apply:
      Resin
      Wood
      Wicker
      Wrought Iron
      Cast Aluminum

Security Code:
Please enter the words you see in the box, in order and separated by a space.

Thank you for your interest in Great American Woodies Casual Furniture.