RETAIL CUSTOMER INFORMATION

MOTORS & ELECTRONICS

UNIT DESCRIPTION

OPENING DIMENSIONS

REMOTE/TRANSMITTER OPTIONS

SPECIAL INSTRUCTIONS

IMPORTANT

SCREEN AMERICA CORPORATION WANTS TO BUILD YOUR CUSTOM SCREEN EXACTLY THE WAY YOU WANT IT. TO DO THIS WE NEED YOUR COOPERATION IN FILLING OUT THIS FORM COMPLETELY. IF THIS FORM IS NOT FILLED OUT CORRECTLY OR COMPLETELY YOU MAY NOT GET THE CUSTOM SCREEN YOU EXPECT. BUT YOU WILL STILL BE RESPONSIBLE TO PAY FOR IT. CHANGES TO THIS ORDER AFTER MANUFACTURING HAS BEGUN WILL INCUR ADDITIONAL CHARGES.