VILLA ESTATE ORDER FORM
Customer:
Name:
Street Address:
City, ST ZIP Code:
Phone Number:
Email Address
Qty	Color
	Slate
	Heather
	Nutmeg
	La-Z-Boy Décor
Qty	Flooring
	Plank Wood Lino
	Ceramic Tile Lino
Qty	Cabinetry
	Palisades Cherry (Dark)
	Fulton Cherry (Light)
Qty	Model #	Standard Features
	T 392 FKDS
Qty	Option #	Description
	827-1	(1) La-Z-Boy Rocker Recliner IPO Std. Rocker
	874-1	(2) La-Z-Boy Rocker Recliner IPO Std. Rocker
	830-1	La-Z-Boy Sofa w/ Hide-A-Bed
	506	Skylight Over Tub
	511	Garden Tub Glass Door
	535	Garden Shower w/ Glass Door IPO Garden Tub
	804-1	Ceiling Paddle Fan w/ Wall Switch (12 volt) (Bedroom)
	804-2	Ceiling Paddle Fan w/ Wall Switch (12 volt) (Living Room)
	2029-1	Pleated Night Shades
	2071	Spellbound Luxury Tan Carpet (Recommended)
	830	Queen Hide-A-Bed w/ Footrest
	8014-2	Dbl. Air Hide-A-Bed
	827	(1) Glider Recliner IPO Standard
	874	(2) Glider Recliners IPO Standard
	8014-3	Dbl. Air Hide-A-Bed IPO Lower Bunk (403FB, 392QBEC Only)
	10094	Outside Kitchen (392QBEC Only)
	184	(2) Barstools
	135	Detachable Hitch
	102	Awning Center Rafter Brace
	1818	Fiberglass Cap (All Except 392FLFB, 403FB)
	1176	Gel-Coat Exterior Upgrade (6,000 lb. Axle Included)
	52	Washer/ Dryer Prep (N/A 392FKRB)
	868	Jiffy Sofa IPO Lower Bunk (392QBEC, 403FB Only)
	005-1	2nd A/C in Bedroom
	36	Phone Jack (Specify Location)
	117	Stabilizer Jacks
	122	Outside Shower
	130	Spare Tire Carrier & Cover
	124	Ladder Only
	902	Canadian Standards