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*First Name

*Last Name

*E-mail Address

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Day Phone
......Evening Phone
Billing Address

City ......
State ......Zip
Project Address

City
......State ......Zip
*I am closest to

Please select all categories that apply.

Garage Door for a home
......Size of door

......Width
x Height
......Floor to first obstruction height ..... How to measure
......Replacing a garage door?
......Insulated garage door?
......Traditional or Carriage House?
......Desire windows in garage door?

Garage door opener
......Current

Entry Door, Storm Door, Patio Door, Security Door
......Type of door

............. Entry Door
............. Entry Door with Storm Door
............. Storm Door
............. Sliding Patio Door
............. Hinged Patio Door
............. Wrought Iron Security Door
............. Security Screen Door
............. Retractable Screen

......Sidelites or transoms?

Windows
......Location is

......Type

......Style

......Number of windows needed

......Budget for this project
Need financing?

Central Vacuum System
......Location is

......Purchasing is

......Name of builder

......Home style
......Other
......Estimated square footage of main floor

......Estimated sq. ft. of upper floors, if any

......Estimated sq. ft. of basement

......Is your basement finished?

Security Systems
......New construction?

......Name of builder
......Number of doors/windows
......Interested in security cameras?
......Interested in remote/cellphone access?

A/V Systems
......Please indicate all areas of interest:
............. Surround sound
............. Whole house audio
............. ........ Number of rooms
............. Automation
............. Lighting
............. Thermostats
............. Blinds

Garage and specialty doors in commercial applications
......Size of door: Width
x Height
......Type ....... Other
......Insulated?

......Frame of building

......Room above header
......Floor to first obstruction height ..... How to measure
......Need electric operator?

......Location

Gates and gate operators
......Width of driveway or gate opening
......Distance from house to gate
......110v power at gate location?

......Interested in solar power?

......Interested in telephone entry system?

......Interested in


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