Plain Fabric Samples Form

1

Please complete your details* This field is required.

First Name

Last Name

Company Name

Please enter your email

2

Who are the samples for?* This field is required.Where will they be delivered?

MyselfCustomer

3

CUSTOMER Delivery Address

Contact Name (Include Company Name)

Street Address

Street Address Line 2

City

County

Post Code

4

YOUR Company Address* This field is required.

Contact Name (Include Company Name)

Street Address

Street Address Line 2

City

County

Post Code

5

Which type of fabric would you like?* This field is required.

Blackout

Dimout

Screen

Voile

9

Roach Blackout

White

Magnolia

Light Grey

10

Tara Blackout

Cool Grey

Driftwood

Soot

Raven

12

Which Dimout Fabric would you like?

Thames

Tara

Lyn

Not Required

16

Which Screen Fabric would you like?

Roe 1%

Roe 3%

Tara 1%

Tara 3%

19

Tara 1%

Chalk

Sand

Platinum

Storm

20

Tara 3%

Chalk

Sand

Platinum

Storm

22

Please state the amount of each fabric you require* This field is required.Max. 10

23

Notes for your order

24

Please verify that you are human* This field is required.