Transcription of SWIMMING POOL COVER ORDER FORM - DS-Sewing
1 260 Wolcott Street New Haven, CT 06513. Voice: 203 773-1344 Fax: 203 773-1778. Date - - SWIMMING POOL COVER ORDER form . Account Info: Ship COVER UPS or Customer Pick Up . Name: _____ Ship to address (different account). Address: _____. City/state/zip _____ Name:_____. Phone # (_____)_____ Phone (_____)_____. Cell (_____)_____ Cell (_____)_____. Fax # (_____)_____ Fax (_____)_____. Bill to Address: Credit Card: Name: _____ CC#: _____-_____-_____-_____. Address: _____ Exp. Date____/____ Sec. Code _____. City/state/zip _____ Name on card_____. Phone # (_____)_____.
2 Cell (_____)_____. Fax # (_____)_____. Pool COVER Repair ( COVER came w/bag COVER came without bag ). Mesh_____ Solid_____ see drawing attached . Instructions:_____. _____. _____. _____. _____. _____. Estimated repair time_____ x $100 man hour_____. New Pool COVER Dwg: copy old COVER keep old COVER throw COVER . Fabric: Mesh 9x9 9x12 18x18 . Solid . Polypropylene Mesh . Color (Mesh & Solid only) _____. Estimate Fabric Length ____ x width_____= _____ x$ _____. Webbing L___ x____ straps=_____ +. W___ x ____ straps=_____ = _____ x$ _____. Chafe strip _____ x$ _____.
3 Springs short 5 _____ long 8 _____ x$ _____. Spring covers _____ x$ _____. Stainless Steel buckle _____ x$ _____. Pool COVER bag _____ x$ _____. Brass pool anchor for concrete _____ x$ _____. Brass anchor w/flange for wood deck _____ x$ _____. Aluminum lawn pool anchor _____ x$ _____. Aluminum tamping tool _____ x$ _____. Installation rod _____ x$ _____. Rubber straps w/stainless steel o-rings _____ x$ _____. Reinforcement _____ x$ _____. Sizes_____ _____ _____ _____ _____. Estimated Pool COVER price _____. Notes: CT Sales Tax _____. Shipping & Handling: _____.
4 Total _____.
