fortuny box order form

Name

First Name

Last Name

Email Address

Subject

Box Size

Select the size you are interested in

Box Top

Select type of top you prefer

Box Exterior

Select your leather or Fortuny fabric

Box Interior

Select your leather or Fortuny fabric

Leather Selection

Select color choice

Fortuny Selection

If Fortuny is selected for both the Exterior and Interior, please indicate in the notes which is to be applied where.

Message

EMBeR studio | design