TERRAZZO PAN ORDER FORM
Fill in
Green Boxes
& send with your Purchase Order
CENTER HUNG DOORS
AUTO DOOR: L/H OUTSWING
HARDWARE: R/H REVERSE
GLAZIER: HINGE RIGHT - R/H
ORDER QTY:
PAIR OF DOORS
ORDER QTY:
AUTO DOOR: R/H OUTSWING
HARDWARE: L/H REVERSE
GLAZIER: HINGE LEFT - L/H
ORDER QTY:
OFFSET AND BUTT HUNG DOORS
AUTO DOOR: L/H OUTSWING
HARDWARE: R/H REVERSE
GLAZIER: HINGE RIGHT - R/H
ORDER QTY:
PAIR OF DOORS
ORDER QTY:
AUTO DOOR: R/H OUTSWING
HARDWARE: L/H REVERSE
GLAZIER: HINGE LEFT - L/H
ORDER QTY:
SIZING
MAXIMUM
TERRAZZO
OR STONE
HEIGHT IS 5/8"
QTY:
OPCON STANDARD TERRAZZO/STONE PANS ARE 5/8" TALL X 8" WIDE.
STANDARD LENGTHS ARE 36", 42", 72", 84" BETWEEN JAMBS.
NOTE: ALTERNATE LENGTHS & WIDTHS MAY BE AVAILABLE BY SPECIAL QUOTE.
PLEASE VIEW SPECIFIC DRAWINGS AT
THRESHOLDS
TAB FOR MORE DETAILS.
MATERIALS
STAINLESS STEEL
(OPCON STANDARD)
ORDER QTY:
BRASS
(SPECIAL QUOTE)
ORDER QTY:
ANODIZED ALUMINUM
ORDER QTY:
CLEAR
ORDER QTY:
DARK BRONZE
DOOR OPERATOR MODEL:
PROJECT NAME:
COMPANY NAME:
TELEPHONE:
FAX:
CONTACT:
SHIPPING ADDRESS:
BILLING ADDRESS:
EMAIL:
PO Number:
PO Amount:
FREIGHT CHARGES ADDITIONAL
APPROVED BY:
DATE:
IF YOU PREFER, PLEASE
PRINT THIS FORM
AND FAX TO (760) 720-9653
