CUSTOM WINDOW COVERINGS REQUEST FORM                      

TO PLACE AN ORDER, PRINT REQUEST FORM,  FILL OUT COMPLETELY, AND FAX TO 1-818-888-2004
Once we receive your request we will fax you a price quote which you may sign and fax back to us to place your order.  

Question? Please call Chantal at (818)888-0111 or E mail your question to lisa@californiablinds.com.   Need help measuring? click here
 

 E Mail Address:

 

First Name:

 

Last Name:

 

Ship To Address:

 

City:

 

State:

 

Zip:

 

Phone:

Home: 

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Work:

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FAX:

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Product

Product Description
(Choose from Sample Page)

Mount Type
Circle One

Width
(inches)

Height
(inches)


Cord
Circle One


Tilt
Circle One


Stack Direction
(Verticals Only)
Circle One

Valance
(Verticals Only)
Circle One

Special Notes

 

 

In - Out

 

 

L - R

L - R

L - R
S

Yes - No

 

 

 

In - Out

 

 

L - R

L - R

L - R
S

Yes - No

 

 

 

In - Out

 

 

L - R

L - R

L - R
S

Yes - No

 

 

 

In - Out

 

 

L - R

L - R

L - R
S

Yes - No

 

 

 

In - Out

 

 

L - R

L - R

L - R
S

Yes - No

 

 

 

In - Out

 

 

L - R

L - R

L - R
S

Yes - No

 

 

 

In - Out

 

 

L - R

L - R

L - R
S

Yes - No

 

 

 

In - Out

 

 

L - R

L - R

L - R
S

Yes - No

 

 

 

In - Out

 

 

L - R

L - R

L - R
S

Yes - No

 

 

 

In - Out

 

 

L - R

L - R

L - R
S

Yes - No

 

 

 

In - Out

 

 

L - R

L - R

L - R
S

Yes - No

 

 

 

In - Out

 

 

L - R

L - R

L - R
S

Yes - No

 

 

 

In - Out

 

 

L - R

L - R

L - R
S

Yes - No

 

     Fully Insured State Contractors License #724870                                                            Serrving ITEX,BXI,TAC, Malibu BXI Members since 1994         

                                 Question? Please call Lisa at 818-888-0111.  Need help measuring? click here

                           
            California Blinds Company   13415 Saticoy St., North Hollywood, Ca 91605