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IMPORTANT NOTE: To insure accuracy, Draperytech accepts only mail or fax orders.
-Please fax completed form to 1.586.627.5830 OR mail form to:
--Draperytech Inc., 22800 Hall Rd. Clinton Twp., MI. 48036

ORDERED BY:
SHIP TO:
Name

Address Line 1

Address Line 2

City / State / Zip

Name

Address Line 1

Address Line 2

City / State / Zip

Phone (used only for questions on order)
Home ()- Work ()-

Name
Size
Quantity
Cost ea.
Total
Oval Elbow
3-1/2" x 4-1/2"
$3.02
(Set of 2)
Oval Elbow
5-1/2" x 6-1/2"
$5.56
(Set of 2)
Oval Elbow
7-1/2" x 9-1/2"
$7.12
(Set of 2)
Spray Adhesive
Net Wt. 11oz.
$5.99
Shipping & Handling
Chart
Subtotal
Cost
$10.00 or less
$7.00
$20.00 or less
$10.00
$30.00 or less
$13.00
$40.00 or less
$16.00
NOTE: For Hawaii & Alaska add 20% to above shipping charges.
Tax (Michigan Customers, add 6%)

Shipping & Handling
TOTAL


Name (as it appears on card)
Card Number

Experation Date
Your Signature
To SUBMIT your order: Read the Important note above for sending your order.

NOTE: Shipping & Handling is free (within continental US) when above products are ordered with any type of foam cornice.