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	Please select the pertinent information. If you need information on multiple rooms, manufacturers, etc., please place the additional information in the comment box at the bottom of the form. Thank You.
	1st Room:	LivingDiningKitchenFamilyBedroom BathroomOther
	Mfg Item:	Kirsch,Rods Kirsch,Blinds Kirsch,Blinds,Mini Kirsch,Blinds,Micro Kirsch,Blinds,Wood Kirsch,Pleated Kirsch,Honeycomb Kirsch,Verticals Del-Mar,Blinds Del-Mar,Blinds,Mini Del-Mar,Blinds,Micro Del-Mar,Blinds,Wood Del-Mar,Pleated Del-Mar,Honeycomb Del-Mar,Verticals Graber,Rods Graber,Blinds Graber,Blinds,Mini Graber,Blinds,Micro Graber,Blinds,2" Mini Graber,Blinds,Wood Graber,Blinds,WoodPerfect Graber,Fashion Pleat Graber,Crystal Pleat Graber,Verticals Levolor,Blinds Levolor,Blinds,Mini Levolor,Blinds,Micro Levolor,Blinds,Wood Levolor,Pleated Levolor,Honeycom Levolor,Verticals Hunter Douglas,Blinds Hunter Douglas,Blinds,Mini Hunter Douglas,Blinds,Micro Hunter Douglas,Blinds,Wood Hunter Douglas,Pleated Hunter Douglas,Duette Hunter Douglas,Verticals Hunter Douglas,Silhouette Hunter Douglas,Vignette Nanik,Blinds Nanik,Blinds,Horizontal Nanik,Blinds,Vertical Nanik,Shutters Contract Draperies
	Color:		Qty:
	Dimensions in inches:   Width   Height
	2nd Room:	DiningLivingKitchenFamilyBedroom BathroomOther
	Mfg Item:	Kirsch,Rods Kirsch,Blinds Kirsch,Blinds,Mini Kirsch,Blinds,Micro Kirsch,Blinds,Wood Kirsch,Pleated Kirsch,Honeycomb Kirsch,Verticals Del-Mar,Blinds Del-Mar,Blinds,Mini Del-Mar,Blinds,Micro Del-Mar,Blinds,Wood Del-Mar,Pleated Del-Mar,Honeycomb Del-Mar,Verticals Graber,Rods Graber,Blinds Graber,Blinds,Mini Graber,Blinds,Micro Graber,Blinds,2" Mini Graber,Blinds,Wood Graber,Blinds,WoodPerfect Graber,Fashion Pleat Graber,Crystal Pleat Graber,Verticals Levolor,Blinds Levolor,Blinds,Mini Levolor,Blinds,Micro Levolor,Blinds,Wood Levolor,Pleated Levolor,Honeycom Levolor,Verticals Hunter Douglas,Blinds Hunter Douglas,Blinds,Mini Hunter Douglas,Blinds,Micro Hunter Douglas,Blinds,Wood Hunter Douglas,Pleated Hunter Douglas,Duette Hunter Douglas,Verticals Hunter Douglas,Silhouette Hunter Douglas,Vignette Nanik,Blinds Nanik,Blinds,Horizontal Nanik,Blinds,Vertical Nanik,Shutters Contract Draperies
	Color:		Qty:
	Dimensions in inches:   Width   Height
	3rd Room:	KitchenLivingDiningFamilyBedroom BathroomOther
	Mfg Item:	Kirsch,Rods Kirsch,Blinds Kirsch,Blinds,Mini Kirsch,Blinds,Micro Kirsch,Blinds,Wood Kirsch,Pleated Kirsch,Honeycomb Kirsch,Verticals Del-Mar,Blinds Del-Mar,Blinds,Mini Del-Mar,Blinds,Micro Del-Mar,Blinds,Wood Del-Mar,Pleated Del-Mar,Honeycomb Del-Mar,Verticals Graber,Rods Graber,Blinds Graber,Blinds,Mini Graber,Blinds,Micro Graber,Blinds,2" Mini Graber,Blinds,Wood Graber,Blinds,WoodPerfect Graber,Fashion Pleat Graber,Crystal Pleat Graber,Verticals Levolor,Blinds Levolor,Blinds,Mini Levolor,Blinds,Micro Levolor,Blinds,Wood Levolor,Pleated Levolor,Honeycom Levolor,Verticals Hunter Douglas,Blinds Hunter Douglas,Blinds,Mini Hunter Douglas,Blinds,Micro Hunter Douglas,Blinds,Wood Hunter Douglas,Pleated Hunter Douglas,Duette Hunter Douglas,Verticals Hunter Douglas,Silhouette Hunter Douglas,Vignette Nanik,Blinds Nanik,Blinds,Horizontal Nanik,Blinds,Vertical Nanik,Shutters Contract Draperies
	Color:		Qty:
	Dimensions in inches:   Width   Height
	4th Room:	FamilyLivingDiningKitchenBedroom BathroomOther
	Mfg Item:	Kirsch,Rods Kirsch,Blinds Kirsch,Blinds,Mini Kirsch,Blinds,Micro Kirsch,Blinds,Wood Kirsch,Pleated Kirsch,Honeycomb Kirsch,Verticals Del-Mar,Blinds Del-Mar,Blinds,Mini Del-Mar,Blinds,Micro Del-Mar,Blinds,Wood Del-Mar,Pleated Del-Mar,Honeycomb Del-Mar,Verticals Graber,Rods Graber,Blinds Graber,Blinds,Mini Graber,Blinds,Micro Graber,Blinds,2" Mini Graber,Blinds,Wood Graber,Blinds,WoodPerfect Graber,Fashion Pleat Graber,Crystal Pleat Graber,Verticals Levolor,Blinds Levolor,Blinds,Mini Levolor,Blinds,Micro Levolor,Blinds,Wood Levolor,Pleated Levolor,Honeycom Levolor,Verticals Hunter Douglas,Blinds Hunter Douglas,Blinds,Mini Hunter Douglas,Blinds,Micro Hunter Douglas,Blinds,Wood Hunter Douglas,Pleated Hunter Douglas,Duette Hunter Douglas,Verticals Hunter Douglas,Silhouette Hunter Douglas,Vignette Nanik,Blinds Nanik,Blinds,Horizontal Nanik,Blinds,Vertical Nanik,Shutters Contract Draperies
	Color:		Qty:
	Dimensions in inches:   Width   Height
	If you have more than 4 rooms, please submit additional requests.
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