Aluminum Privacy Slats

                                                          Sales Order Form

      Name: ____________________________________         [    ]   Check of Money Order

     Address: ___________________________________         [    ]   Credit Card Expires:______

     City:  _______________   State: ______    Zip: ______       Credit Card No: __________________

      Telephone: ___________________________                      ( Circle One )  Mastercard, Visa,  Discover                                                                                                                                                                                                                                                                                                                                                                 

               Quantity (Boxes)      Height                   Color                      Price Each               Extension

               _______                 _______              _________              _________             ________

               _______                 _______              _________              _________             ________

               _______                 _______              _________              _________             ________

               _______                 _______              _________              _________             ________

                                                                                                                        Sub-Total:        ________

                                                                                 Ohio Residence Only - Sales Tax:        ________

                                                                                                                  UPS Shipping:        ________

                                                                                                                              Total:         ________

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