Chase Cover Order Form

Business Name:

Contact Name:

First NameLast Name

Email Address:

example@example.com

Phone Number:

Please enter a valid phone number.Format: (000) 000-0000.

Job Name or PO Number:

Date Order Placed:

Date

Estimated production turn-around is 7-10 business days.

Notes:

Chase Cover Style:

Metal Choice:

Color Choice for Color Clad:

Powder Coating is available for Stainless Steel for additional cost

Please provide accurate measurements to the closest 8th of an inch!

We recommend adding 1/4" to length & width to allow clearance when placing on chimney.

WE FABRICATE TO YOUR EXACT MEASUREMENTS PROVIDED.

Measurement of side A: (Longest side)

Measurement of side B:

Measurement of side C: (Optional)

Measurement of side D: (Optional)

Skirt Height (Standard is 3")

How many holes are needed?

Add additional $10 per inch over 3"

Additional $25 per Hole/Collar

If one hole is required, fill out info below for Hole 1.

Refer to Hole 1 Demensions picture above.

Diameter of Hole 1: (1" increments)

Collar Height Hole 1: (Standard is 2")

Shape of the Hole 1:

Is Hole 1 centered?

If Hole 1 is not centered, fill out hole demensions for Hole 1.

Measurement 1 for Hole 1: (measure to edge of hole)

Measurement 2 for Hole 1: (measure to edge of hole)

Measurement 3 for Hole 1: (measure to edge of hole)

Measurement 4 for Hole 1: (measure to edge of hole)

If two holes are needed, fill out info below for Hole 2.

Refer to Hole 2 Demensions picture above.

Diameter of Hole 2: (1" increments)

Collar Height for Hole 2: (Standard is 2")

Shape of the Hole 2:

Is Hole 2 centered?

Measurement 1 for Hole 2: (measure to edge of hole)

Measurement 2 for Hole 2: (measure to edge of hole)

Measurement 3 for Hole 2: (measure to edge of hole)

Measurement 4 for Hole 2: (measure to edge of hole)

Accessories: Refer to wholesale price list for cost.

Starter Collar is only for when you choose to cut your own hole at time of installation.

Starter Collar 1:

Storm Collar 1:

Starter Collar 2:

Storm Collar 2:

If more than 2 holes are required, please upload drawing.

ORDERING PROCESS
After your order is submitted:

You will receive an invoice
When the invoice is paid, we will fabricate your order
When your order is complete, we will notify you when your order is available for pick-up or when it will be shipped/delivered

Please feel free to contact us with any questions: 612-445-0025

Sales@SotaMetalFab.com

PLEASE VERIFY ALL MEASUREMENTS ARE CORRECT BEFORE SUBMITTING!

ChimGuard Chase Cover