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 Number:*

Date Order Placed:*

Date

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

If you need an order expedited, please call for availability and quote.

Notes:

Chase Cover Style:*

Metal Choice:*

Color Choice for Color Clad:

Please provide accurate measurements to the closest 8th of an inch! We recommend adding 1/4" to all measurements to allow cap clearance when placing on chimney.

Measurement of side A in inches (Longest side):*

Measurement of side B in inches:*

Measurement of side C in inches:

Measurement of side D in inches:

Measurement of E1 (when available)

Measurement of E2 (when available)

Skirt Height (Std 3")*

How many holes are needed? (Each hole includes an attached collar)*

Size of Starter Collar if needed with No Hole Style - 5" through 18" (List multiples when needed)

Size of Storm Collar if needed - 5" through 18" (List multiples when needed)

If one hole is required, fill out info below for hole 1. Refer to Hole Demensions picture above.

What is the measurements of hole 1? (1" increments)

What is the collar Height? (Standard is 2")

What is the shape of the hole?

Is the hole centered?

If hole is not centered, fill out hole demensions below.

What is the measurement for A for hole 1? (measure to center of hole)

What is the measurement for B for hole 1? (measure to center of hole)

If two holes are needed, fill out info below for hole 2. Refer to Hole Demensions picture above.

What is the diameter of hole 2? (1" increments)

What is the collar Height for hole 2? (Standard is 2")

What is the shape of the hole 2?

What is the measurement for A for hole 2? (measure to center of hole)

What is the measurement for B for hole 2? (measure to center of hole)

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

ChimGuard Chase Cover