Fireplace Surround Worksheet

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INSTRUCTIONS:
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 Privacy Policy and Terms and Conditions.

 

CUSTOMER INFORMATION

 

*Customer:
Please enter your name.

Contact Name:

*Phone:
Please enter your phone number.

Fax Number:

Street Address:

City:

State/Province:

ZIP/Postal Code

Email Address:

 

 

MANTEL SPECIFICATIONS

 

Surround Size And Style:

Color/Finish:

Hearth Needed:
cpix.gif (807 bytes) Yes No

Hearth Edge Profile:
 

Hearth Shape:
 

Hearth Elevation:
  
Raised Height (in): 

Filler Panels Needed:
cpix.gif (807 bytes) Yes No

Overmantel Needed:
cpix.gif (807 bytes) Yes No

Floor Type:
cpix.gif (807 bytes)Finished Sub floor

Firebox Type:
cpix.gif (807 bytes) Masonry Pre-Fab

Worksheet

FIREBOX MEASUREMENTS

 
(1) Firebox Opening Width:
(2) Firebox Opening Height:
(3) Floor to Firebox:
(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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