First Name

Last Name

Phone

Email Address

Address

Type of Window Covering Type of Window CoveringBlindsDrapesShutterShadesCommercial CoveringOther

Operating System Operating SystemCordedCordlessCord LoopMotorized

Manufacturer

Month / Year of Purchase

Problem Problem Cord Broken Slat Broken Window Covering Will Not Raise Window Covering Will Not Lower Louver Broken (Shutter) Tilt Bar Broken (Shutter) Need Cutdown

Briefly Describe The Issue