PHOTO ROLLER BLIND ORDER FORM ----------------------------- Please complete one form for each blind. Duplicate information, such as address, can be omitted. CHECK LIST: 1) Print or download this Order Form as a PDF version - Text Version - Word Version and complete each section as necessary, then post or email. 2) If paying by cheque, enclose a cheque for the total amount made payable to Coolscapes Ltd and post OR EMAIL with this order form to: Coolscapes Ltd, 114a Top Lane Whitley, Melksham, Wilts, SN12 8QU. 3) Include photo/cd if you are not emailing your picture. You can also pay by Paypal to payments@coolscapes.co.uk. If you wish to pay by direct bank transfer, please contact us for bank details. Please telephone 0845 1661232 (local call rate) or 01225 702938 if you would like assistance. 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)........................................ PHOTOS/pictures Our Photo Our Pic Name............................................................. Your Photo Your Pic Name............................(Supplied email, CD, DVD, print) WINDOW MEASURMENTS Complete in CMS OR Inches and delete as appropriate a) Blind to fit INSIDE recess Y/N Recess Width .....................cms/ins Height .................cms/ins OR b) Blind to fit OUTSIDE recess Y/N Recess Width .....................cms/ins Height .................cms/ins Enter overlaps, e.g. 4cms. Top...... Bottom....... Left....... Right....... Prices based on recess/outside-recess length and width. BLIND MATERIAL Vinyl ....... PVC ........ PVC Blackout ........ Cotton340 ........ Blackout Fabric........ Coated Cotton ........ BLIND PRICE Use the width of the blind recess to work out the price £ DELIVERY DISCOUNTS Discount 2 blinds £10 £ Discount 3 blinds £10 £ Other Agreed Discounts £ TOTAL to PAY £ SIDE WINDING MECHANISM or SPRUNG BLIND Left ...... Right ...... BEAD CHAIN (for side-winders) White ...... Chrome ....... MATERIAL TO ROLL IN 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 8QU, TEL: 0845 1661232 (local call rate) or 01225 702938 if you would like assistance Registered in UK 4878993