Job # . . . . . . . . Page ____ of _____ Installer fax to: (206) 203-4713 or email to service@blindinstallation.com Name  . . . . . . . . . . . . . . . . . . . . . . .  Street  . . . . . . . . . . . . . . . . . . . . . . . City  . . . . . . . . . . ., St/Zip . . . . . . . . Tel  . . . . . . . . . . . . . . . . . . . . . . . Cell  . . . . . . . . . . . . . . . . . . . . . . . Email  . . . . . . . . . . . . . . . . . . . . . . . © Copyright, 2010, Nationwide Blind Installation, Inc.  All rights reserved.   Installation Quote / Notes (e.g. $x/blind, $y for removal) Measure Fee:   Paid   Unpaid

Workmanship Guarantee I guarantee that if the Width or Height below are incorrect, I will repair or replace the window treatments free of charge to the customer's reasonable satisfaction, provided: * Customer orders to these measurements from a retailer offering NBI's service, and * If an order is placed, the installation is performed by me or my company,    within 6 months of the measument date, and * The customer is on site for the installation and I am paid in full for all services. Signed: ________________________ (installer)   Date: _____________ Note: Guarantee excludes shutters, draperies, light sealed systems, outdoor/exterior shades or awnings, special shaped windows, and motorization, unless agreed by the installer in writing.   Project Details   I've reviewed my guarantee with customer Yes No   Would the customer like the retailer to send them samples? Yes No Waiting (already ordered)   When does the customer think they'll order? ASAP 1-2 wks Over 2 wks

Line Room Product Type Qty IM/OM Width Height Depth (if IM) Position (Ctrl/Stk) Notes (e.g. "2 on 1 headrail", Total IM width if mult shades) Fabric/Color/Brand (if known by customer) 1 2 3 4 5 6 7 8 9 10 11 12