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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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World's Oldest Ramp Manufacturer - Since 1958
Handi-Ramp, Inc. All rights reserved.
510 North Avenue, Libertyville, IL 60048
Ph. 800-876-7267 or 847-680-7700, fax 847-816-8866

Handi-Ramp® products are available across North and Central America including Alaska, Hawaii, Canada and Puerto Rico. International customers are responsible for paying applicable duties and taxes.
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