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.

 

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CUSTOMER INFORMATION

*Customer:
Contact Name:
*Phone:
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

 

  all measurements to the nearest 1/8"

 

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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