Company Name Email Job Name / PO Number Contact Person
Customer Name Customer Phone # Customer Address (This info is used for photography purposes only)
Image Number:
Material Type: ---Partially PrivatePerfectly Private
Color Preferences: ---Black BackWhite BackMirrored BackOther If other:
Is this for a covered screen area? Yes No
Width (in) Height (in) **Enter Daylight Opening. Patio Scenes will add appropriate excess needed for installation purposes **
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