PHOTO BLINDS 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 and complete each section as necessary. PDF version (post) Text Version, Word Version email or print and post. 2) If paying by Credit Card or Paypal please follow the link from the Payment page to make payment via a secure server. 3) If paying by bank transfer, please contact us for our bank details. 3) If paying by cheque, enclose a cheque made payable to Coolscapes Ltd for the total amount and post with this order form to: Coolscapes Ltd, 114a Top Lane Whitley, Melksham, Wilts, SN12 8QU. 4) Include photo/cd if you are posting your picture. For assistance, please telephone 01225 702938 or 0845 1661232 (local call rate). 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 -£ TOTAL to PAY £ SIDE WINDING MECHANISM OR SPRUNG BLIND: Side Winding Left or Rightside: BEAD CHAIN (for side-winders) White: or 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 8QU Registered in UK 4878993