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Blair Lampshade Studio
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Shade Order Form
First name
Last name
Email
Phone
Code
Ship to address- only if different from above
Purchase Order
How many shades
Select a type of shade
*
Flat
Gathered
Top fitting
*
Finial top
Clip-on bulb
Candle clip-on
Other
If other, please add what top fitting you would like
Street Address
Street Address Line 2
City
Region/State/Province
Postal / Zip code
Size of shade- top
Size of shade- bottom
Size of shade- height
Fabric name
Trim name
Trim placement details
Submit
Thanks for ordering!!
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