First Name: Last Name: Phone - Daytime Number: Phone - Evening Number: Email Address:
Mailing Address: City: State: Zip/Postal Code: Country:
Product Interest, Questions, & Comments:
Sofamech Furniture Inc. PO BOX Dillon, Colorado 80435 PH: 970-418-8144 FAX: 970-468-1396 Email: tomcaldwellref@comcast.net