ABN 59 006 013 869



Phone:
Fax:
Email:
Unit 38, 128 Canterbury Road
Kilsyth, Vic. 3137
(03) 9761 5900
(03) 9761 5911
sales@keyimagedesign.com

Order Form

Roman:
Roller:
Upholstery:

Store:

Order NO:
Customer:
Date:
Fabric brand:
Fabric name:
Fabric Sample - Mark direction, Face:
(Please supply sample if applicable)
Fabric Colour:
Meterage supplied:
Shape No / Style / Special instructions:
Trim - name, colour, code No.:
Allowances required:
 Yes No
Tick appropriate box:
Pin Cloth Recess
Face IBM OBM
ID
A
B
C
D
E
F
G
QTY
WIDTH
DROP
PROJECTION
C/TRL SIDE
FIXING
ACCESSORIES
LOCATION

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