Blinds USA Inc. Order Form <meta http-equiv="Content-Language" content="en-us"> <meta name="GENERATOR" content="Microsoft FrontPage 5.0"> <meta name="ProgId" content="FrontPage.Editor.Document"> <meta http-equiv="Content-Type" content="text/html; charset=


 Replacement Parts and Mounting Hardware

 

 

Select a category below that's relative to the part your looking for

 

 

 

 

 

 



 

This form can be used for:

  • Ordering by mail (check or money order payment).

  • Special or Bulk Order / Quote.  (Specify in Message box)

  • Combined shipping Invoice request.  (Specify in Message box)

  • International Quote / Invoice request. (Specify in Message box)

Fill out the form below, you can submit up to 3-items per page, if more space is needed simply submit another form and they will be combined, when filling out another form the Name and Email address must match that of the first, the shipping address can be marked as "Same". Once your order has been received you will receive an invoice via email within 24 hrs or less. Special/Bulk orders must be pre-paid.

Printable Form
 

  

Order Form
 ( * Required Fields )

Full Name: *
Shipping Address: *
Phone Number: *
Email Address: *
Form of Payment: * Money Order
Cashier Check
Personal Check
Other (Specify in Message box below)
Item (Name): *
Item #: *
Quantity: *

Quantity Contains: *

 Single Item (1)
Pair / Set
Package of (10)
Other (Specify in Message box below)
Item (Name):
Item #:
Quantity:

Quantity Contains:

 Single Item (1)
Pair / Set
Package of (10)
Other (Specify in Message box below)
Item (Name):
Item #:
Quantity:

Quantity Contains:

Single Item (1)
Pair / Set
Package of (10)
Other (Specify in Message box below)
Message:
Submit another page:
Yes
No
       
 
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