Elite Screens Inc | Elite Screens China Corp. | Elite Screens Europe ...

Custom Size Request Form
Company Name
First Name
E-Mail
Last Name
Company Phone Company Fax
Home Phone
Address 1 (Bill to)
Mobile Phone
North America Use Only
City State (Province) Zip Code (Postal) Country
Address 2 (Ship to)
City
Screen Series:
State (Province) Zip Code (Postal) Country
Manual Manual SRM Manual SRM Pro VMAX2 VMAX Plus3(4) Home2 ezFrame
ezCinema ezCinema Plus Tripod Tripod Pro QuickStand QuickStand Drape
Kestrel Evanesce Evanesce Tension Kestrel Tension Raptor Raptor Tension
Raptor Module Raptor Module Tension Other
Voltage 110V 220V 230V Other Power Plug Type
View Width: inch cm Note:
View Height: inch cm Note:
Top Black Masking: inch cm Note:
Bottom Black Masking: inch cm Note:
Aspect Ratio: 1:1 4:3 16:9 16:10 2.35:1 Other (Please specify)
Case Color: Black White Other (Please specify) Note:
Screen Material:
MaxWhite MaxWhite FG MaxWhite Plus CineWhite
CineGrey
VersaWhite
PowerGain WraithVeil (Rear) AcousticPro1080
Requested Delivery Date: Note:
Special Requirements:
3 Ways to Request Custom Size Screen How to order your custom size screen
1. Online Form @ www.elitescreens.com/csr 1. Fill this form completely and submit it to us, email or fax
2. Email this form to CSR@elitescreens.com 2. Elite Sales Representative will contact you for Lead Time and Cost
3. Fax this form to 562.483.8498 3. Elite Screens requires an Official Non-Cancelable Purchase Order
from reseller/distributor
4. Elite Screens requires 100% payment from end-user
5. Estimated time of delivery for custom screen is 60 to 90 business
days from the date of PO/full payment
To be completed by an Elite Screens Sales Rep.
ETA Cost Quoted Elite Sales Rep Date
136
www.elitescreens.com/csr