BreezeBlocker :: Order

We can take your order by phone at (847) 731-3597 or print this form and fax it to (847) 731-7320 or mail it to:

BreezeBlocker
ARKAD Manufacturing, Inc.
400 Fairhaven Drive
Winthrop Harbor, IL 60096

ORDERED BY:
Name: ______________________ Company: _____________________
Address: ____________________________________________________
City: _______________________ State: ____ Zip: __________
Phone: ______________________ Fax: _______________________
E-Mail: ______________________

PAYMENT ENCLOSED:
(only accepted in U.S Dollars)

Money Order or Check # ________________________
Make checks payable to: BreezeBlocker

PRICING:
1 - 11: $24.95 each 12 - 23: $23.70 each 24 - 49: $22.45 each 50+: $19.95 each

ORDER FORM:

Quantity	Cover Size	Depth	Color	Price Each	Total





				Shipping:
				Tax:
				Other:
				TOTAL:

Example:

Quantity	Cover Size	Depth	Color	Price Each	Total
24	ACCD	04	42	$22.45	$538.80

See Size & Color Charts page for more details.

1-847-731-3597