Roller Blind Order Form 2015 version Dealer Code Consumer Date Dealer Name Address PO Address Tag City Dealer Sales Person City Phone Jackson Ref # Ship Via Qty Width Length Pattern & Colour Clutch Ctrl Chain Hem Mount Valance Standard Standard Price Valance Valance White Right (plastic) 00 Plain Regular None Mount End Black Left White BB Bottom Bar Projection Valance (standard) Return Black WR Wrapped Bar 3" Fascia (col) Wall For lift (col) 4" Fascia Ceiling 3.75" assist (colour) Fascia (col) Metal 5” Projection Or circle SM Cassette (col) size below LG Cassette (col) Lift Assist Pesa (pin end lift assist) Clutch End Spring Assist Galaxy Clutch Galaxy Clutch with Spring Assist Special Instructions
Roller Blind Order Form 2015 version Dealer Code Dealer Name Address City Consumer Address City Phone Ship Via Date PO Tag Dealer Sales Person Jackson Ref # Qty Width Length Pattern & Colour Clutch White Black For lift assist circle below Ctrl Right Left Chain (plastic) White Black Metal Hem 00 Plain BB Bottom Bar WR Wrapped Bar (colour) Mount Regular Projection Valance None Valance (standard) 3" Fascia (col) 4" Fascia (col) 5” Fascia (col) SM Cassette (col) LG Cassette (col) Standard Valance Mount Wall Ceiling Projection Standard Valance End Return 3.75" Or size Price Lift Assist Pesa (pin end lift assist) Clutch End Spring Assist Galaxy Clutch Galaxy Clutch with Spring Assist Special Instructions