I
NSTRUCTIONS
:
Please provide the information requested in the boxes below. In the measurement section at the bottom of this page, please enter the dimensions in the boxes labeled 1 through 6. Please measure to the nearest 1/8" to ensure a proper fit for your new surround. You may submit this worksheet via the internet or print the worksheet and then fax to (281)931-1044. For questions please call 1-800-599-5463. Before requesting a quote please review our
Terms and Policies
.
*Customer:
Contact Name:
*Phone:
Fax Number:
Street Address:
City:
State/Province:
ZIP/Postal Code
Email Address:
Surround Size And Style:
Color
:
Ivory
Ivory Distressed
Canyon Brown
Canyon Brown Distressed
Gold Dust
Gold Dust Distressed
Hearth Needed:
Yes
No
Hearth Edge Profile:
Rounded
Chamfered
Bullnose
Plain
Hearth Shape:
Squared Corners
Clipped Corners
Radiused Corners
Hearth Elevation:
Standard-2"
Flush
Raised
Raised Height (in):
Filler Panels Needed:
Yes
No
Overmantel Needed:
Yes
No
Floor Type:
Finished
Sub floor
Firebox Type:
Masonry
Pre-Fab
all measurements to the nearest 1/8"
(1) Firebox Opening Width:
(2) Firebox Opening Height:
(3) Floor to Firebox (if applicable):
(4) Left Distance to Nearest Obstruction:
(5) Right Distance To Nearest Obstruction:
(6) Firebox To Ceiling (only required if ordering overmantel):
Special Instructions:
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