Cover Your Windows - Check Order Form

Check Order Form

Payment will be made to: Cover Your Windows

Designing Windows catalog of Hunter Douglas products:

Coupon Code:.................

Email.Address:(optional)

Phone:(optional).............

Payment Type:................

Name on Checking Account:....

Bank Name: ..................

ABA/Routing# Check# Bank Account #

If Account number has a "Space" or "Dash" in it, please include it in the block above.

The MICR Line at the bottom of your check may differ slightly but all 3 items should be clear. Please note the symbols and where they are in reference to the numbers.

Enter address on file for your checking account.

Check Address:.........

Check City, State, Zip:

Enter shipping address if different from above.

Shipping Address:..........

Shipping City/State/Zip:

Shipping Instructions:

Please do NOT click the "Submit order and payment" button more than once.
If you fail to receive a receipt page, please contact Cover Your Windows at sandracrook@att.net.