Skylight Cover Order Form
Mail to: Do-It-Yourself Sun Control
PO Box 874
Shalimar, Fl. 32579-0874
Fax in order to:
850.651.1727
(The address listed must match the billing address for the credit card)

Sold to: Payment information:
Name
Name
Address
Credit Card Type:
(    ) MasterCard    (    ) Visa   (    ) AMEX   (    ) Discover
City                                                            

State                              Zip
Credit Card #                                                 
Exp date:
Phone
Check #                               
Total:
$
E-mail Signature
Ship to: City
Address: State Zip
1 2 3 4 5 6 7 8 9
No. of
covers
A B C D Color
Gr-Gray
W-White
Br-Brown

Material
90% or
  70%

Type of Skylight

Price

               
                 
                 
                 
                 
Make checks payable to: 
Do It Yourself Sun Control

A $25 fee for returned checks. Purchaser will be responsible for all cost of collection including reasonable attorneys fees.

No Refunds.

Add 7% tax for orders shipped to Alabama. Subtotal: 
Tax:
Shipping & Handling:
Total price: