Order Form – Bump Out 4

PROJECT NAME

INSTALL STREET ADDRESS

INSTALL CITY

STATE

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

Security Bar Set

Switch Kit for DTU

COMMENTS

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

PHONE NUMBER

BILL TO ADDRESS

CITY

STATE

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.

ADDRESS

CITY

STATE

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.

Order Form – Bump Out 4

Back to Bump Out 4 Product Page

BILLING INFORMATION

SHIPPING INFORMATION

PLEASE BE ADVISED