MR. K'S REPAIR FORM
Date:
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Name:
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Address:
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Street Address Line 2
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Phone:
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Format: (000) 000-0000.
Did you purchase this product from Mr. K's ?
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Yes
No
If yes, when?
Is the project Residential or Commercial?
*
Residential
Commercial
Description of problem:
*
Product
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( X )
Woven Wood Shade
Free
$
Free
Quantity
1
2
3
4
5
6
7
8
9
10
Roller Shade/ Screen Roller Shade
Free
$
Free
Quantity
1
2
3
4
5
6
7
8
9
10
Honeycomb Shade
Free
$
Free
Quantity
1
2
3
4
5
6
7
8
9
10
Vertical Blind
Free
$
Free
Quantity
1
2
3
4
5
6
7
8
9
10
Horizontal Wood Blind
Faux wood or Wood Horizontal Blind
Free
$
Free
Quantity
1
2
3
4
5
6
7
8
9
10
Horizontal Aluminum Blind
Free
$
Free
Quantity
1
2
3
4
5
6
7
8
9
10
Vertiglide
Vertical Honeycomb Shade
Free
$
Free
Quantity
1
2
3
4
5
6
7
8
9
10
Pirouette
Free
$
Free
Quantity
1
2
3
4
5
6
7
8
9
10
Silhouette
Free
$
Free
Quantity
1
2
3
4
5
6
7
8
9
10
Luminette
Free
$
Free
Quantity
1
2
3
4
5
6
7
8
9
10
Skyline Panels
Free
$
Free
Quantity
1
2
3
4
5
6
7
8
9
10
Banded Shade
Free
$
Free
Quantity
1
2
3
4
5
6
7
8
9
10
Please Upload Pictures Here
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Can you bring it in?
*
Yes
No
If we come out, there is a trip fee, is that ok?
*
Yes
No
If yes, when is a good time?
Can we have our repair person call you for more details?
*
Yes
No
If yes, when would be a good time?
Is the blind / shade stuck open?
*
Yes
No
Partially
Is this repair/product under warranty?
*
Yes
No
Unknown
Do we need to order a new part?
*
Yes
No
Unknown
Is the blind on stairs?
*
Is the blind high up?
*
Comments or anything else we should know?
*
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