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Please complete one form for each blind. Duplicate information, such as address, can be omitted.

DELIVERY DETAILS

Please write clearly

Title....................

First Name.................................

Surname...................................................
Delivery Address................................................................................................................................

............................................................................................................................................................

Postcode.......................................Contact Tel No (if we need to contact you)................................

Email (for order confirmation)..................................................................................................................

PHOTO (More Info)

Our Photo

Our Pic Name..........................................................
Your Photo

Your Pic Name.........................................................(Supplied email, CD, DVD, print)

WINDOW MEASURMENTS (More Info) ...............Complete in CMS OR Inches and delete as appropriate

a) Blind to fit INSIDE recess Recess Width .....................cms/ins ..Height .................cms/ins
  OR


b) Blind to fit OUTSIDE recess

Recess Width .....................cms/ins . Height .................cms/ins
Enter addition for overlap, e.g. 4cms. Top...... Bottom....... Left....... Right.......

Prices based on length and width of a) recess or b) outside-recess including overlap.


BLIND MATERIAL (More Info)

PVC .......

PVC Blackout ........

  Blackout Fabric ....... Coated Cotton ........

BLIND PRICE (More Info) ....... Use the width of the blind recess to work out the price

£
Delivery £9.50
Other Agreed Discounts e.g. payment by bank transfer, cheque - £

TOTAL to PAY   £

SIDE WINDING MECHANISM

OR SPRUNG BLIND

Left ......

Yes/No ......

Right ......

BEAD CHAIN (for side-winders) White ...... Chrome .......

MATERIAL TO ROLL

FRONT of Bar ...... or BEHIND Bar ........

By placing an order you are agreeing to be bound by our terms and conditions: Coolscapes Ltd,
114a Top Lane, Whitley, Melksham, Wilts, SN12 8QURegistered in UK 4878993