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Window Well Cover Order Form

Fax your order to (847) 816-8866 - Printer-friendly form

(This is our secure fax machine to protect your credit card information)

Order using this form and your shipping is free within the Continental US!

Credit Card Information Ship To Information
   

Name as on CC _______________________

Name _____________________________

Street _______________________________

Street _____________________________

City _________________ St ____ Zip______

City ____________ St__ Zip_____

Phone (____)_________________________

Phone (____)________________________

E-Mail _______________________________

Fax (____)________________________

CC No._______________________________        Exp Date ___/____ CVC Code ___

Authorizing Signature _____________________________

 
 
Width
x
Length
=
Total Sq In
x
Cost Per Sq In
=
Cost for Each Cover
 

Window Well Cover #1

_______
x
_______
=
_______
x
$0.14
=
$________.___
 

Window Well Cover #2

_______
x
_______
=
_______
x
$0.14
=
$________.___
 

Window Well Cover #3

_______
x
_______
=
_______
x
$0.14
=
$________.___
 

Window Well Cover #4

_______
x
_______
=
_______
x
$0.14
=
$________.___
 

Window Well Cover #5

_______
x
_______
=
_______
x
$0.14
=
$________.___
 

Window Well Cover #6

_______
x
_______
=
_______
x
$0.14
=
$________.___
 
 

Window Well Cover Latch

       
_______
x
$20.00
=
$________.___
 
 

Window Well Cover Tabs

       
_______
x
$5.00
=
$________.___
 
 

Reinforcing Angle Iron*

       
_______
x
$25.00
=
$________.___
 
 

Sub-total

             
$________.___
 
 

Sales tax (if in Illinois)

    Sub-total  
$______
x
7%
=
$________.___
 
 

Total Purchase

             
$________.___
 
 

 Notes and Comments:

 

 



* One reinforcing angle is needed for each 12" beyond 36" Width
* One reinforcing angle is needed for each 12" beyond 24" Length

 

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Instructions For Ordering Your Window Wells

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Handi-Ramp's products are available across North America including Alaska, Hawaii, Canada and Puerto Rico. You can call us toll free, at (800) 876-RAMP to discuss your specific needs.
 
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For A Free Estimate, Call Toll Free (800) 876-7267

   
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