CUSTOM THERMAL SHIELD ORDER FORM

Measure your window as indicated on our measuring page.

Prices for specified sizes are available HERE

Required fields for the form are in RED. We must have these fields so that we can contact you for further clarification during manufacturing.

Please provide the following information: Full Name   Company (If applicable)   email address   Street address   Address (cont.)   City   State Zip Phone Number   Fax Number   Please choose type of wood     OAK    POPLAR     Window 1 Quantity Type of Mount Width Height Track Stain Color Right/Left Pull Price (choose one) Inside Outside Light Dark Right Left Window 2 Quantity Type of Mount Width Height Track Stain Color Right/Left Pull Price (choose one) Inside Outside Light Dark Right Left Window 3 Quantity Type of Mount Width Height Track Stain Color Right/Left Pull Price (choose one) Inside Outside Light Dark Right Left CALCULATE YOUR ORDER Subtotal: Add 10% to cover shipping & handling: Total Due:   Please choose a payment option below. Visa/MC or Discover Payment- Fill in pertinent info-------> I will be paying via PayPal (use admin@thermalshields.com) I will be mailing a check payable to Thermal Shields & Shades LLC to: 2518 Midpoint Dr, Unit #2 Fort Collins, CO 80525 For Credit Card orders, please complete the following: Choose One MasterCard Visa Discover Credit Card # Expiration Date (MMDDYY): Please use this space for additional comments:

To pay for your order you may use PayPal online or print this order form and mail it with a check made payable to Thermal Shields & Shades LLC to the address below.

Thermal Shields & Shades LLC
2518 Midpoint Dr, Unit #2
Fort Collins, CO 80525

OR Call (970) 224-5716
to place an order TODAY!

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