10777 Southwest Freeway	PPL Motorhomes	(800) 755-4775
Houston, Texas 77074		(713) 988-5555
		FAX (713) 995-8697

Order Request Form
Universal Awning Replacement Fabric

Please complete this form and return via email or fax. Our representative will contact you to complete the order.

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PLEASE NOTE: This is a 2 piece replacement fabric consisting of the main canopy and a separate valance which will not completely cover the roller tube. This is not for use for awnings with metal weatherguard or to replace acrylic fabrics

*Attention (PPL Sales Rep): Don't Know (none) Alex Candace Dan Daniel Earl Felicia Xavier Frank JoAnn Joni Ken John Lauren Pat Paul Rick Ron Ryan Vince Zach Chuck

Customer Information:      *Required

*Name:
Address:
City, State, Zip:	AL AK AZ AR CA CO CT DC DE FL GA HI ID IL IN IA KS KY LA ME MD MA MI MN MS MO MT NE NV NH NJ NM NY NC ND OH OK OR PA PR RI SC SD TN TX UT VT VA WA WV WI WY
*Contact Phone #
*Email Address:

*Awning Brand: Don't Know A & E Carefree Carter Hilo/Popup Camper Zip Dee None of These *Awning Width: Ft In *Fabric Width: Ft In
*Select Color: White Weatherguard Cream Weatherguard: Bordeaux Almond Mocha Ocean Blue Bordeaux Sierra Brown Sierra Brown Teal Burgundy Fade Camel Fade Silver Fade

IMPORTANT: Please be sure all information is correct. Awnings and Fabrics are not refundable, cancellable, or exchangeable. Please indicate your acceptance of this policy.
I understand and agree. (Click this box)

If faxing this form, print and sign below, signifying your acceptance of the above policy.

Signature:__________________________ Print Name: _______________________ Date: ____________