HomeMy WebLinkAboutB17-0369_Copy of KESAVAN, AMY door form_1505317800.pdfPatio Door Order Form Fax to your Customer Service Associate
RETAIL LOCATION NAME HOMEOWNER
PHONE FAX ADDRESS PHONE
ORDER DATE REQUESTED DEFERRED SHIP DATE CITY/STATE/ZIP
TOTAL NUMBER OF DOORS FOR JOB Check if accompanied by window product order form
Page ___ of ___Check if NOT accompanied by window product order form
SALES REP ID NUMBER Check if accompanied by Sidelight & Transom Order Form
JAMB
DEPTH QTY EXTERIOR INTERIOR GLAZING
4 9/16"1 Dark Bronze Dark Bronze i89T-HA
Hardware Key Metro Hardware Collection Andiron Hardware Collection Estate Hardware Collection
( X )BOTH X
( I )INTERIOR
( E )EXTERIOR
Matched Hinges (inswing doors only)Grille Type Grille Width WxH Hardware Accessories Quantity
1
Insect Screens Qty Depth Quantity
x Gliding
Special Instructions:Room Locations: Floor: Quantity
1
Grille Pattern
OPTIONSMatching Auxiliary Lock (FWG,PS,NLGD)
Sill OptionsRETAIL LOCATION INFOHOMEOWNERSIZE
Perma-Sheild Gliding (PS)
STORE NUMBER
PURCHASE ORDER NUMBER
REQUIREDCUSTOMKESAVAN, AMY
Oak Threshold
Newbury Oil Rubbed Brz
114 WILLOW RD. #660
VAIL 81657
REFERENCE
71 x 79
CUSTOM SIZE OPERATION
L
Thresholds
Mull/Joining Kits Jamb Accessories
SCR (Y-N)