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ORDER FORM


TV FRAME ORDER FORM

 

FRAME INFORMATION :

* INDICATES REQUIRED FIELDS

FRAME COLOR: *
IF CUSTOM COLOR:
EDGE COLOR: *
IF CUSTOM COLOR:

 

TV INFORMATION :

DIAGONAL SCREEN SIZE: *
MANUFACTURER: *
YEAR MODEL:
MODEL NUMBER: *
DVD SLOT LOCATION: *
ACTUAL TV DIMS.(OPTIONAL):

 

MOUNTING BRACKET
INFORMATION :

BRACKET TYPE: *

IF ARTICULATING BRACKET (SWING ARM) YOU MUST SUPPLY THE FOLLOWING INFORMATION:  

MANUFACTURER:
MODEL NUMBER:

 

IF YOU DO NOT HAVE THIS INFORMATION PLEASE SUPPLY US WITH THE ACTUAL DIMENSION FROM THE WALL TO THE FRONT OF THE TV IN THE SPACE PROVIDED BELOW.

DISTANCE FROM WALL TO FRONT OF TV:


We welcome your comments:

Other:

Enter your comments in the space provided below:

Tell us how to get in touch with you:

NAME:
E-MAIL: *
TEL:
FAX:

Please contact me as soon as possible regarding this matter.

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