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Optima - QUOTE FORM

From Information:

Name:
Company:
Address:
City:
State:
Zip:
Phone:
FAX:
Email:

Ship To - if different from the left:

Name:
Company:
Address:
City:
State:
Zip:
Phone:
FAX:

Provide Measurements - Remember to measure the width in multipule location - the product is custom, made to your measurements:

 
Smallest width
Smallest Height (Drop Length)
Shade 1:
 
Shade 2:
 
Shade 3:
 
Shade 4:
 
Shade 5:
 
Shade 6:
 
Shade 7:
 

Mark your desired fabric: (choose one)

Pleated Privacy
Blocks approximatily 20% of the light, 40% of the heat gain and 90 of the UV's

 Smooth White      Off White    

Cellular light filtering
Blocks approximately 35% of the light, 55% of the heat gain and 90% of the UV's

 Frost      Oatmeal      Mink      Sand    

Cellular Midnight
Blocks approximately 99% of the light, 78% of the heat gain and 90% of the UV's

 Eggshell      Alabaster    

Mark Control Option: (choose one)

 3-6' Extension Pole

 6-12' Extension Pole

 Plastic Handle on Travel Rail

Comments / Questions:

 
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