Subtitle

Curtain Type *

Type of Supply *

Pelmet Required

Tie Backs Required

a) Total width of pole, track, pelmet or blind (mm)

b) Total drop of fabric measured from top of pole or track to bottom of fabric (mm)

c) Total Recess width of window or door (mm)

d) Total Recess height of window or door (mm)

Room Location

Care Home Name

Further Details

Full Name *

Address Line 1 *

Address Line 2

City *

Postcode *

Country *

Email Address *

Phone Number *