Complete and mail form to:

wallliner.com
PO Box 501
Edison, NJ 08818

Design:     Tulip Tree Border

Background:   ______________   (Please enter background number [e.g. 110].)

Number of strike offs: _____ x $100.00 = ______

Set up fee:  $100.00 (This is a one time fee per custom paper order)

Custom Color:  Enclose color swatch(es).  Ensure swatches are not less than 1 by .5 inches.  The Tulip Tree border requires three swatches.  Please specify which swatch goes to which component of the wallpaper.  "Colors" listed are referenced here.

screen #1 (petal)       "white"           change to color ________ enclosed.

screen #2 (stem)        "blue"            change to color _________enclosed.

screen #3 (stamen)     "navy"           change to color _________enclosed.

If ordering a strike off alone, please state the approximate number of rolls required for the job.  This is to ensure enough ink and paper is set aside for your future order.  Please enclose a check for the strike off(s) in the amount of $100.00 per strike off; shipping of the strike off(s) is free, UPS Ground.

Price:  $6.00 per linear yard; minimum order 60 yards.
Shipping is additional; it will be assed before the order is processed.

Contact Information:

Company Name  ________________________________

Contact Name  __________________________________

Address  ____________________________

City  _________________

State  _____

Zip code  ____________

Tel. #   ___________

Fax. #   _____________

Email Address  _____________