Pallet Furniture Order Form

Please fill out all information and we will be back in touch with you within 24 business hours.

There are some errors in your form.

First Name: * This field is required

Last Name: * This field is required

Street: * This field is required

City: * This field is required

State: * This field is required

Zip: * This field is required

Email: * A valid email address is required

Phone: * This field is required

Standard Order Items *

A. Couch

B. Table

C. Bench

D. Ohio OSU Plaque

E. Pipe End Table

F. Wall Coat Rack

G. Grill Caddy

H. None of the Above

This field is required

If not a Standard Order, Please specifiy Speical Order Item Details:

Where will this furniture be used?

A. Indoor

B. Outdoor

What type of finish do you want? *

A. Unfinished

B. Paint

C. Stain (One Coat)

D. Tek Oil

This field is required

If Paint or stain, please specify color.

Do you want Casters? *

A. Yes

B. No

This field is required

Additional Information:

1310 Claremont Ave.
Ashland, OH 44805
419-207-1188

We are a 501 (c) 3 non-profit organization.

MANSFIELD
Shaw Ott Medical Building
270 Lexington Ave
Mansfield, OH 44901
567-203-5225

CLARKSVILLE
639 Eastern Blvd.
Clarksville, IN 47129
812-282-2810

Celebrating 20 years of service 1999-2019

Onboarding

Visit Our Facebook
Visit Our Twitter
Visit Our LinkedIn
Visit Our Instagram