Design Request Form

Heater Layout Request Form
Thank you for giving us the opportunity to partner with you on your heating layout design. Please fill out the form below along with any plans, drawings, or photos of the space you plan to heat. Due to increased demand in outdoor design, please allow up to 48 business hours for our design team to process this request and create a design specific to your needs.
CLIENT DETAILS
Name

First NameLast Name
Phone Number
Please enter a valid phone number.
Email
example@example.com
Company Information

Company NameProject Name
Project Location (Zip Code)
PROJECT DETAILS
Application Type
Preferred Controls (check all applicable)

On/Off OnlyHi/Lo OnlyVariable ControlOccupancy SensorHandheld Wireless RemoteHome Management IntegrationNone (I will use my own control)
Preferred Fuel
Available Power
Do you Have a Brand in Mind?

YesNo
If Yes, please list brand
Patio Type (Choose closest match)
Project Timeline
Preferred Mounting Type and Coverage
Budget
SPACE DIMENSIONS
Length of Space*
in ft
Width of Space*
in ft
Mounting Height*
in ft
ADDITIONAL NOTES
Provide any additional information below.
Upload
Take Photo
Should be Empty:

PROJECT DETAILS