Home Range Roman Blind Order Form

Date: / / 2017

Company Name: / Phone:
Company Address: / Email or fax:
Special Delivery Instructions:
Order Ref/Account Name: / Quote No:
Contact Name: / Booking No:

Fabric Type

/ Fabric Design
Please circle or specify /

Fabric Colour

Please circle or specify / Barrel/acorn
Please circle / Cleat
Please circle
Blockout (or other approved fabric not listed below)
Order code:C8ROM/RB4C / chrome
brass
timber
Not applicable if headrail or motorised system required.
If not specified, chrome will be supplied. / chrome
brass
clear
Not applicable if headrail or motorised system required.
If not specified, chrome will be supplied.
Translucent
Order code: C8ROM / Atlanta / Balmoral / Broome / Metroshade / Concrete / Cream / Dove / Ivory / White
Sheer
Order code: SRB4 / Husk II / Rami / Venezia / Eggshell / Grey / Ironbark / Ivory / Linen / Parchment / Shark / Snow / White
Screen
Order code: SR / Vivid Shade / Black / Bronze Grey / Charcoal Grey / Silver Linen / White / White Stone
Room / Quantity / Finished or Recess* Width (mm) / Finished Drop (mm)
(inc headboard) / Recessed?
Y/N * / Cord side (Left/Right) / Headboard
Projection
(42mm standard) / Cord Lock
Y/N / Headrail System
Y/N / Special Instructions:

* BQ will make allowances for recessed and/or butting blinds unless otherwise specified.

Batten spaces are determined by the drop measurement of the blind. If blinds with varying drops are to have battens lined up, please specify accordingly. This may be required for bay windows, adjoining windows or multiple romans in same room. This may cause a later fading problem due to a part batten space becoming necessary at the base.

Additions required: __ Headrail system Please circle chain colour white plastic / birch white plastic / black plastic / nickel plated / stainless steel

__ Motorisation ___ Side flaps ___ Trims, braids, contrast bands Please provide details

Please note: If full details of your requirements are not provided to us, our standard specifications as detailed in Price List will apply.