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916-933-4669 |
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CeilingShowerRod.com |
View Printable Order Form in PDF format
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Order Form |
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Product |
Price | Quantity | Total | |||
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QUICKLINKS
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| TRAX -Standard 58 1/2 inch length | $50 | x _____ | = __________ | |||
| Finish: White: __ or Brushed Aluminum: __ | ||||||
| L-TRAX -Standard 60 inch length x 32 inch depth | $100 | x _____ | = __________ | |||
| Finish: White: __ or Brushed Aluminum: __ | ||||||
| C-TRAX -Curved shower rod | $70 | x _____ | = __________ | |||
| . Finish: White: __ (Only finish currently available) | ||||||
| Concepts Shower Curtain | ||||||
| 72-inch wide curtain for used with TRAX or C-TRAX | $60 | x _____ | = __________ | |||
| 108-inch wide curtain for use with L-TRAX | $90 | x _____ | = __________ | |||
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Is shower curtain
for: Bathtub: __ or Shower:
__
Ceiling height (inches) _______________ Color: White: __ Parchment: __ Champagne: __ With Micromesh upper vent panel: __ Without: __ |
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| Concepts Drapery Hardware Kit (Includes hooks, pattern, rod, and clip) | $30 | x _____ | = __________ | |||
| Concepts Ceiling Mounted Drapery Hooks | $15 | x _____ | = __________ | |||
| Concepts Designer Drape Pattern | $10 | x ______ | = _________ | |||
| Other: _______________________________________ | _________ | = _________ | ||||
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Subtotal: |
____________ | |||||
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Sales Tax: 7.25% for CA residents: |
____________ | |||||
| Shipping and Handling: (See below) | ____________ | |||||
| Total Enclosed: | ____________ | |||||
| Make checks payable to: | Mail Order to: | |||||
| Design Concepts | Design Concepts | |||||
| 1503 Hathaway Court | ||||||
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El Dorado Hills, CA 95762 |
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| Name: __________________________________ | Special Instructions: | |||||
| Address: ________________________________ | ||||||
| City:__________________ State: ___ Zip: _____ | ||||||
| Phone: ________________ E-mail:______________ | ||||||
| Visa: _____ MasterCard: _____ Discover:_____ | ||||||
| Credit Card #: _____________________ Expires: ______ | ||||||
| Signature: ______________________________ |
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Call or FAX your credit card order to: |
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FAX: (916)933-5096 Telephone: (916)933-4669 |
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Shipping and Handling Costs (U.S. locations): Standard TRAX, C-TRAX, or L-TRAX $20.00 Shower Curtain or Drapery Hardware: $10.00
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A Shower curtain and/or a drapery hardware kit can be shipped in the same package as TRAX, C-TRAX, or L-TRAX at no extra shipping cost. | |||||