Shade Order Form
28 Charles Street
Name: ____________________________________________
Address: _________________________________________
City: __________________________
State:_______Zip Code: ____________
Shade Style: _________________________________
Select Mount: Inside Outside
Total Width: ________
Length: _________
How Many: ____
Select Lining Color (if not supplying your own): White Ivory
Any notes or special instructions regarding trimming etc.._____________________________________
________________________________________________________________________________
________________________________________________________________________________
Cost of Shades: ____________
Shipping:(see below) ________
Total payment: _____________
If you would like Priority Mail or Insurance, please use inquiry page for additional cost.