Apply for curtains

We can provide free recycled curtains for homes in Christchurch, Ashburton, Kaikoura and the West Coast as well as localities along the State Highways to these towns or anyone who is happy to pick up the curtains from our Christchurch office.

Please complete the form below or download and print a measurement form here and send or email it to our office.

IMPORTANT!

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.

* indicates required field

CUSTOMER
Name *
Street (incl. number) *
Suburb / RD No. *
City / Town *
Postcode find your postcode *
Phone (during business hours) *
Best time to call (during business hours) *
Phone (alternative option)
Email

REFERRER (only if applicable)
Organisation
Name and position
Phone (during business hours)
Email

TENURE
I am a *	Homeowner (owner-occupier) Tenant in private rental (landlord) Tenant in private rental (relative) Tenant in social housing (CCC) Tenant in social housing (HNZ)

HEALTH
Does someone in the household have a chronic health condition? *	YES NO

INCOME
Do you have a Community Services Card? *	YES NO Don't know/could be eligible

ETHNICITY
Ethnicities present in the household	Asian Maori NZ European Pacific Other Do not wish to disclose

HOUSEHOLD COMPOSITION
Number of children aged 0-4 years *
Number of children aged 5-17 years *
Number of people 18-64 years *
Number of people 65 years or over *

MEASUREMENTS
Please measure your windows exactly as shown. Do NOT add extra as this will limit your choices at the Curtain Bank, we will add on the extra length 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 measuring units are you using? *	Centimetre Millimetre Metre

Are you measuring to an existing track? *	YES NO
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

COLOUR AND STYLE
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. *

For rooms with multiple windows: Are you happy to have different (but similar) curtains for each window? Please be aware that there may be a delay or we may not be able to help you if you want matching curtains. Please elaborate in the comment box below. *	YES NO NA. I don't need curtains for rooms with multiple windows.
Additional comments on rooms with multiple windows:

INSULATION
Homeowners only: Has the house been insulated or has insulation been topped up since 2008? *	YES NO Not Sure NA, I'm renting.

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? *	YES NO Maybe. Please comment in the box below: NA, I am renting
Insulation Comments

Apply for curtains

Community Energy Action