ROLLER BLIND ORDER FORM Url COMPANY NAME CONTACT NUMBER DATE CONTACT PERSON ORDER REFERENCE/ ACCOUNT GILLIGANS FABRIC CODE OR FABRIC COLOUR FABRIC BLOCK OUT TRANSLUCENT SCREEN BASE RAIL WHITE BLACK BONE ANODISED PLAIN LATHE CHAIN COLOUR WHITE BLACK BIRCH WHITE METAL STAINLESS STEEL BRACKET COLOUR WHITE BLACK BARLEY MOTOR ACMEDA WIRE FREE SOMFY WIRED IN ROLLER BLIND INFORMATION FOR EACH ROOM BLIND 1 Pin Width(mm) Drop(mm) Control R or L R L Room Type BLIND 2 Pin Width(mm) Drop(mm) Control R or L R L Room Type BLIND 3 Pin Width(mm) Drop(mm) Control R or L R L Room Type BLIND 4 Pin Width(mm) Drop(mm) Control R or L R L Room Type BLIND 5 Pin Width(mm) Drop(mm) Control R or L R L Room Type BLIND 6 Pin Width(mm) Drop(mm) Control R or L R L Room Type BLIND 7 Pin Width(mm) Drop(mm) Control R or L R L Room Type BLIND 8 Pin Width(mm) Drop(mm) Control R or L R L Room Type NOTES PICK UP YES NO DELIVERY TO SHOP YES NO Within 25km of Mulgrave COURIER (cost will be applied)
