CHIMNEY FLASH ORDER FORM DATE- company NAME- PHONE# PO# / JOB NAME- Material: Select Material STAINLESS STEEL GALVANIZED COPPER BLACK BROWN WHITE DARK BRONZE PRIMER SIERRA TAN BRONZE GRAY GALVALUME WEATHERED COPPER OLD ZINC GRAY WEATHERED ZINC PREPAINTED (COLOR IN NOTES) C - Face 4.5" Short 6.5" Tall Rush + $75 Custom Chimney Flashings Quantity A - .25" A - B - 1.25" B - C - Face C - D - length D - 1/2" HEM AT BOTTOM OF FACE? CHECK BOX IF YES- Step Flashings 8" X 12" Step Flashings 12" X 12" Custom A - .25" B - 1.25" C - FACE D - LENGTH Notes: