Order Form – Bump Out 4 Posted on October 8, 2018 by proceed-ready Order Number Back to Bump Out 4 Product Page PROJECT NAME * INSTALL STREET ADDRESS INSTALL CITY * STATE * - Select State/Province - Alabama Alaska Arizona Arkansas California Colorado Connecticut Delaware District Of Columbia Florida Georgia Hawaii Idaho Illinois Indiana Iowa Kansas Kentucky Louisiana Maine Maryland Massachusetts Michigan Minnesota Mississippi Missouri Montana Nebraska Nevada New Hampshire New Jersey New Mexico New York North Carolina North Dakota Ohio Oklahoma Oregon Pennsylvania Puerto Rico Rhode Island South Carolina South Dakota Tennessee Texas Utah Vermont Virginia Washington West Virginia Wisconsin Wyoming ==================== Alberta British Columbia Manitoba New Brunswick Newfoundland and Labrador Nova Scotia Northwest Territories Nunavut Ontario Prince Edward Island Quebec Saskatchewan Yukon ==================== INTERNATIONAL (specify in comments) QUANTITY * OVERALL SIZE * 27.75"w x 48.75"h (17.5"w x 32"h service opening) FRAME COLOR * Clear Anodized Bronze Anodized Painted (Provide RAL# in COMMENTS) MODE OF OPERATION * Semi - Automatic (Push Pad Operation) Fully Automatic Electric GLASS TYPE * 1/4" Clear Tempered Custom (provide details in COMMENTS) AIR CURTAIN OPTIONS DTU Heated Inside Mount Fly Fan DTU Non Heated Inside Mount Fly Fan none of the above ACCESSORIES Telescoping Security Gate / Padlock Switch Kit for DTU COMMENTS BILLING INFORMATION PO NUMBER QUOTED PRICE (An email confirming the price & payment details will be sent prior to fully processing) PAYMENT TERMS * Credit Card Net 30 (Pending Approval) CIA - Cash in Advance COMPANY NAME * YOUR NAME * EMAIL * PHONE NUMBER * BILL TO ADDRESS * CITY * STATE * - Select State/Province - Alabama Alaska Arizona Arkansas California Colorado Connecticut Delaware District Of Columbia Florida Georgia Hawaii Idaho Illinois Indiana Iowa Kansas Kentucky Louisiana Maine Maryland Massachusetts Michigan Minnesota Mississippi Missouri Montana Nebraska Nevada New Hampshire New Jersey New Mexico New York North Carolina North Dakota Ohio Oklahoma Oregon Pennsylvania Puerto Rico Rhode Island South Carolina South Dakota Tennessee Texas Utah Vermont Virginia Washington West Virginia Wisconsin Wyoming ==================== Alberta British Columbia Manitoba New Brunswick Newfoundland and Labrador Nova Scotia Northwest Territories Nunavut Ontario Prince Edward Island Quebec Saskatchewan Yukon ==================== INTERNATIONAL (specify in comments) ZIP * SHIPPING INFORMATION Default shipping is “collect”, meaning you pay the carrier directly at time of delivery (most affordable option). To have freight costs added to your order please pick "prepaid and add freight". Special Handling charges are in addition to the freight charge. SAME AS BILL TO Yes COMPANY NAME * FREIGHT TERMS * Collect Prepaid and Add Freight SPECIAL HANDLING 24 HR Pre-call ($30) Liftgate ($165) Inside Delivery ($175) Residential ($125) Construction Site ($125) *estimated special delivery charges in addition to LTL freight—price may vary. SITE CONTACT PHONE ADDRESS * CITY * STATE * - Select State/Province - Alabama Alaska Arizona Arkansas California Colorado Connecticut Delaware District Of Columbia Florida Georgia Hawaii Idaho Illinois Indiana Iowa Kansas Kentucky Louisiana Maine Maryland Massachusetts Michigan Minnesota Mississippi Missouri Montana Nebraska Nevada New Hampshire New Jersey New Mexico New York North Carolina North Dakota Ohio Oklahoma Oregon Pennsylvania Puerto Rico Rhode Island South Carolina South Dakota Tennessee Texas Utah Vermont Virginia Washington West Virginia Wisconsin Wyoming ==================== Alberta British Columbia Manitoba New Brunswick Newfoundland and Labrador Nova Scotia Northwest Territories Nunavut Ontario Prince Edward Island Quebec Saskatchewan Yukon ==================== INTERNATIONAL (specify in comments) ZIP * ACKNOWLEDGE * I hereby acknowledge all information is correct and would like to proceed with the above order as described. By submitting you agree to our general terms. PLEASE BE ADVISED Opening direction is always from outside view. Lead times vary depending on options that are chosen and will be sent with your quote. These are subject to change at any time. Restocking fee is 25% + Damages + Freight and must be approved prior to sending back. SUBMITTAL information including electrical requirements, cut sheets, installation manuals, and more are available under the product page DOWNLOADS tab.
