SSU ORDER FORM
USE ONE ORDER FORM PER ROOM
Order Date
*
-
Month
-
Day
Year
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SSU Quote #
*
Dealer PO
Number or Name
Kitchen & Bath Dealer
*
Branch location
Designer
*
Designer phone #
*
-
Area Code
Phone Number
Designer email
*
JOB INFORMATION
Contact (who do we call to set up template and install)
*
First Name
Last Name
Contact Phone Number
*
-
Area Code
Phone Number
Customer's name
*
First Name
Last Name
Customer's Phone Number
*
-
Area Code
Phone Number
Job site address
*
Street Address
Street Address Line 2
City
State
Zip Code
SELECTIONS
Room
*
Material
*
Select Quartz
Select Granite
Corian
Quartz - Other manufacturer (non stock)
Granite - Other (non stock)
Solid Surface - Other manufacturer
Other material
Remnant Quartz (from SSU website)
Remnant Natural Stone (from SSU website)
Color
*
Quartz - Other Manufacturer
Manufacturer's Name
Granite - Other (non stock)
Where viewed
Solid Surface - Other manufacturer
Manufacturer's Name
Remnant Quartz (online)
*
Name of quartz manufacturer
Remnant Natural Stone (online)
*
Granite
Marble
Quartzite
Other Natural Stone
Choose only one
Remnant color
*
Remnant size (online)
*
Enter exactly as listed online
Other material
Edge (and edge height if applicable)
*
Outside corners
Standard 3/4" radius
Eased corner (used with Eased / Mitered edges)
Other (indicate on attached drawing)
Choose one
Backsplash height
*
None
4" high
5" high
6" high
Full height
Other
Backsplash thickness
*
None
1/2" (solid surface only)
2 cm (N/C Select Quartz only)
3 cm
Choose one
Solid Surface splashes
*
Loose
Coved (attached to top)
Choose one
# of electrical outlets needed
*
Fill out number needed
Snack bar overhang (in inches)
Countertop support(s):
*
Yes
No
If yes, then countertop support(s) will be by
Solid Surfaces Unlimited
Dealer
Special instructions
SINK INFORMATION
Sink application
*
None
Undermount
Drop in
Vessel
Integrated solid surface sink
Apron or farm sink (must be installed prior to template)
Other
Sink supplied by:
Dealer
Homeowner
SSU
Choose one
Brand & Model # (color if applicable)
Special instructions
FAUCET INFORMATION
Faucet - Brand
Faucet Model #
List any additional holes needed
Special instructions
RANGE / COOKTOP INFORMATION
Range / Cooktop info
*
None
Free standing range
Slide-in w/ bridge piece
Cooktop
Choose one
Brand
Bosch, Kitchenaid, as examples
Model #
Downdraft brand & model #
OTHER DETAILS
Other details for this order...
Need Measure / Install OR Build to Print
*
Measure/Install
Build to Print (No M/I - may be taxable)
Tear out material
*
None
Laminate
Corian
Granite
Tear out by:
Solid Surfaces Unlimited
Others
Requested measure/pick up date
*
-
Month
-
Day
Year
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