Patusan Trading Company, Inc.
Oriental Rug Request Form


Please fill out this form to help us find the right oriental rugs for you. Boxes marked * must be filled in.

Based on the information supplied, we will provide you with the best available assortment of oriental rugs from the thousands of rugs available at Patusan Trading Company, Inc. Before you purchase, you will have the opportunity to examine each rug and have your questions answered.

Since each true oriental rug is an original piece of art, do not expect one rug to be exactly like another in color, design or style. Likewise, due to variations in shading and lighting, photographs and emails do not always correctly portray the color and pattern of a rug. Patusan’s rugs will feature the irregularities in size and pattern and the dye variations which are typical of high quality oriental rugs. For these reasons, it is always best to see, first hand, any rug that you intend to buy.

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Customer Information

(Any information supplied will be used solely for the purpose of satisfying this oriental rug request.)
Name*:
Address:
City:
State:
ZIP:
   
Phone:
Email:
   

Sponsor Information

(Please tell us which of our sponsors you would like to patronize.)
Choose a State:
Sponsoring Store*:
(The store where you prefer to shop for Patusan's rugs.)
Interior Designer :
 

Oriental Rug Information

(The information provided here will help us find the most suitable rug for your needs.)

Request 1 rug Request 2 rugs Request 3 rugs
Rug 1
 
Room:


Room Dimension:
Floor Material:
Rug Size Desired:
Colors Desired: Background
Others
Color Samples Forwarded:
(Check all that apply)
None
Fabric
Wallpaper
Paint
Other
Samples forwarded via:
Date Sent (MM/DD/YYYY)
Notes:
 



Patusan Trading Company, Inc
5490 Rte. 217 North
Blairsville, PA 15717
Phone: (800) 275-5508 or (724) 459-5508
Website: www.patusan.com
Fax: (724) 459-0413
Email: rugs@patusan.com