Place an Order

Complete the form below to place an order with Cubicle Curtain Factory by paying via Credit Card. You must have either your estimate number or your invoice number. You can also click here to complete our credit card form online and either email or fax it to us at 866-804-5692 or email it to sales@cubiclecurtainfactory.com.

We appreciate your business and value you as a customer!

Contact Name *
Contact Name
Correctly enter either your estimate or invoice number below.
If you've received a promo code that you'd like to be added to this order, please enter it here.
Please enter dollars and cents in U.S. currency as stated on order.
$
Name on Credit Card *
Name on Credit Card
Enter clearly the full first line of the name on the credit card listed to process payment.
Enter the full card number listed on the credit card. This information will be destroyed after payment has been processed.
Enter the expiration date of the credit card to be used to process this order.
3 Digit code on back of card. 4 Digits on front next to card number for American Express.
Billing Address *
Billing Address
Address where the credit card statements are sent.
Shipping Address *
Shipping Address
Confirm the address where the order is to be shipped. This will be compared and verified with the shipping address given at the time of the order request.
Required in order to process payment. Please enter the name of the representative authorizing the payment of this order.