Internal Use Only

Request Contract No.

Appointment Date:

Appointment Time:

Blinds / Shade / Shutter / Drapery Measure Request

Design Firm:

Contact Name:

Daytime Phone:

Cell Phone:

Fax:

Email Address:

Address:

City:

State:

Zip Code:

Project Information

End-User Name:

Sidemark Name:

P.O. #:

Daytime Phone:

Cell Phone:

Address:

City:

State:

Zip Code:

Check all that apply:

Bow, Bay, Corner Applications Template Required High Ladder (base of window 10' or higher) Motorization Battery Operated Hardwired Specialty Shapes Integrated with home automation system

IMPORTANT: all information requested below must be provided

Line No.	Room MSTR, LR, DR, BR1, BR2, Etc.	No. Of Openings in Room	Manufacturer Hunter Douglas, Springs, Etc.	Product Description Silhouette, Honeycomb, Blinds, Verticals, Shutter Drape (Pinch or Ripple)	Lift Type Standard, UltraGlide, PowerRise, Etc.	Cell / Vane / Slat / Louver Size	IB / OB Ceiling	Dealer Comments Mount Above Or On Trim, Picture Frame, Hold Downs, Etc
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Designer Availability

(If Designer availability dates are not filled in, the measure will be scheduled around the consumer's availability only.)

MM/DD/YY	Time Between	Time Between

If a designer is to / wants to attend the measure, all three availability dates must be filled in for scheduling (Scheduling times are Wed. - Fri. 7am - 9am and/or Mon. - Fri. 4:30pm - 7:30pm)

Designer Comments (Reference Above Line Number)

Upon completion of the measure service, the design firm will receive complete measure details by fax or email on MWT's blinds, shade, shutter or drapery track order/installation form along with all window sizes.

***Before any measure information and drawings can be released, payment for the services requested must be received.***

Email this sheet to: info@measureandinstallation.com

Measure Request Form

Design Firm:

Contact Name:

End-User Name

SideMark Name

P.O #:

(All information requested below must be provided.)

Line No.	Room MSTR, LR, DR, BR1, BR2, Etc.	No. Of Openings in Room	Manufacturer Hunter Douglas, Springs, Etc.	Product Description Silhouette, Honeycomb, Blinds, Verticals, Shutter Drape (Pinch or Ripple)	Lift Type Standard, UltraGlide, PowerRise, Etc.	Cell / Vane / Slat / Louver Size	IB / OB Ceiling	Dealer Comments Mount Above Or On Trim, Picture Frame, Hold Downs, Etc
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Designer Comments (Reference Above Line Number):

Measure Request

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