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Curtain Bank Measurement Form  

 

Please complete the form below, including the window measurement section. Make sure to give us as much information about curtain colour, style and patterns that would be suitable for you as you can. It will help us select curtains for you. Due to high demand the option of choosing curtains onsite yourself is not available at the moment. If you live in Kaikoura we can probably deliver curtains to you. If you live in Ashburton you can pick up curtains from Presbyterian Support. We can probably deliver to those living on or very close to SH1 between Kaikoura and Ashburton. Others can pick up from either Presbyterian Support Ashburton or our Christchurch CBD premises. Please enquire for curtains at the West Coast.

 

The Curtain Bank is a free service. However, our Curtain Bank is not fully funded and relies of further donations to keep going for future clients. We would like to encourage all those using the Curtain Bank to give to your ability. If you are experiencing serious financial hardship we do not want any donation and will be honoured to be able to help you. Please note that all donations over $5 are tax deductable. Donations can be made in cash to our donation box at the Curtain Bank or through our Givealittle page. We are very grateful for all donations, big and small.

 

Instead of filling in the form below, you can also download and print a measurement form here and send or email it to our office.

 

Please note the Curtain Bank operates on an appointment only basis.

* indicates required field
Name and Contact Details Customer
Name *
Street address *
Suburb / RD No. *
City / Town *
Postcode find your postcode *
Phone (main contact) *
Best time to call (during the day)
Phone (second option)
Email *
Details of Referring Organisation (only if required)
Refering Organisation
Referrer's Name
Referrer's Phone Number
Date of Referral
These curtains are for *
Does someone in the home have a health condition? *
Do you have a Community Services Card? *
Please advise of all the ethnicities in your household. *

 

Number of occupants by age group.

5 years and under *
6-17 years *
18-64 years *
65 years and over *

Please measure your windows exactly as show.  Do NOT add extra as this will limit your choices at the Curtain Bank, we will add on the extra lenght and gathers.

 

Track Width :  Measure your track.  If there is no track measure to the outside edges of the frame.

 

 

Drop Length : Measure from the top of the track to the bottom of the frame.  We will allow extra length for warmth.

 

What units are you using? *
Are you measuring to an existing track? *
Name of room | window
Width
Drop
Name of room | window
Width
Drop
Name of room | window
Width
Drop
Name of room | window
Width
Drop
Name of room | window
Width
Drop
Name of room | window
Width
Drop
Name of room | window
Width
Drop
Name of room | window
Width
Drop
Name of room | window
Width
Drop
Name of room | window
Width
Drop
Please let us know any colour, style or pattern preferences and anything else that may help us choose curtains for you. E.g. If you are asking for curtains for children's bedrooms, please note their ages and sex. Please note that although we have enough curtains for everybody the amount of curtains we have in so-called 'natural' colours (grey, beige, white, etc) is limited so if you give us a colour option as well we may be able to help you faster. *
Homeowners only: Has the house been insulated or has insulation been topped up since 2011? *
Free Insulation is available to homeowners (owner-occupiers only) with a Community Services Card and to homeowners living at a qualifying address. Would you like us to contact you about the free insulation or (if you do not qualify) for a quote for insulation? *
Insulation Comments
 

 

Community Energy Action

0800 GET WARM (0800 438 9276)

+64 3 374 7222

info@cea.co.nz

299 Tuam Street

Christchurch

 
 

 

© Copyright 2017 Community Energy Action Charitable Trust

make an APPOINTMENT (householders)

make a REFERRAL (organisations)

form CURTAIN BANK (measurements)

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