Cellular Order Form Dealer Code Consumer Date Dealer Name Address Address Tag City Dealer Sales Person City Phone Jackson Ref # Phone Ship Via Qty Width Length Pattern & Colour Rail Control Brackets Hold Down / Mount Regular Right No (specify Colour) Left Regular Bottom Up Yes Projection Clutch Right (specify slat colour) Left XC - Cordless Regular Bottom Up Handles Y or N Special Instructions
Cellular Order Form Dealer Code Dealer Name Address City Phone Consumer Address City Phone Ship Via Date Tag Dealer Sales Person Jackson Ref # Qty Width Length Pattern & Colour Rail Regular (specify Colour) Clutch (specify slat colour) XC - Cordless Control Right Left Bottom Up Right Left Regular Bottom Up Handles Y or N Brackets / Mount Regular Projection Hold Down No Yes Special Instructions