INSULATED QUOTE / ORDER FORM
DATE
Name
*
First Name
Last Name
P.O #
Phone Number
Please enter a valid phone number.
Format: (000) 000-0000.
City:
State:
Job name:
Over all Thickness
Annealed
Tempered
Spacer:
Clear
Bronze
Bug
Cobb
No Bug
Glass thickness
1/8" over 1/8"
3/16" over 3/16"
1/4" over 1/4"
Other
Glass Type:
Clear over clear
Clear over Bronze
Clear over Gray
Clear over Low E (Sungate 500)
Bronze over Low E (Sungate 500)
Grey over Low E (Sungate 500)
Clear over SN68 Low E
Bronze over SN698 Low E
Grey over SN68 Low E
Other
Texture on Surface
1#
2#
3#
4#
Reflective Surface
1#
2#
3#
4#
Unit is looking at
blanks
Glass side
Grid size:
5/8" Flat
3/4" Flat
1" Sculptured
Grid color:
White
Bronze
Grid Pattern:
Custom Location
(per Customers Sketch)
Shape:
Rectangle
Out of Square
Arch Top
Other
Sandblast:
Fulll / 1-Side
Custom (Per Customer Sketch)
Opaci - Coat Spandrel (units must have silicone seal:)
Single Coat
Double Coat
Black (1-818)
Light White (0-0186)
Primary White (0-1060)
Evergreen (2-0225)
Harmony Bronze (4-822)
Other
Add on's:
Silicone Seal
Breather Tubes
Aragon Gas
Quantity:
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