Name:
Address:
City:            State:                Zip:
Telephone:
E-Mail:
Contact Person:
Best Time To Contact:

ARE YOU A (Please select One)
Individual    Architect    Contractor    Interior Design    Other

PROJECT INFORMATION

Number Of New Windows:    Number Of Restored Windows:    Number Of Light Boxes:
Number Of Total Windows:    Completion Date:

Where Will The Window Go? (please select one)
Church    Office    Home    Other Location

Do You Have Photographs Of The Artwork For This Window?:    Yes    No

Is There A Theme For This Window?:    Yes    No

What Is The Interior Color Scheme Of The Room That This Window Will Go In?:

Do You Have A color Photo Of The Area Where The Window Will Be Installed?:

What Are The Exact Window Dimensions In Inches?:    Height: in.    Width: in.

What Direction Does The Window Face?:    North    South    East    West

Payment Method:

            50%  deposit is required at time of initial order

            50%  due at completion/shipment

Upon receipt of this completed form, a representative
 will call you to personally discuss your project!

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