CHASE COVER W/ ENHANCER ORDER FORM DATE- company NAME- PHONE# PO# / JOB NAME- Material: Select Material STAINLESS STEEL GALVANIZED COPPER BLACK BROWN WHITE DARK BRONZE PRIMER PREPAINTED (COLOR IN NOTES) Chase Cover Size 1) Long Side: 2) Short Side: 3) Long Side: 4) Short Side: Skirt Height: Skirt height 1 1.25 1.5 2 2.75 2.5 3 3.5 4 4.25 4.5 4.625 5 5.5 6 6.5 6.75 7 7.25 7.5 7.75 8 8.25 8.5 8.75 9 9.5 9.75 10 10.5 10.75 11 11.25 11.5 11.75 12 12 X 16 12.25 12.5 13 13.125 13.25 13.5 13.75 14 14.25 14.5 15 15.25 15.5 15.75 16 A) Shroud Height: B) Air Gap : Shroud Sides: Straight Angled DRIP EDGE: Yes No Rush + $100 Collar Shape: No Collar Round Rectangle Square Collar DIAMETER: Select Collar Size 9 9.5 9.75 2 2.5 3 3.5 4 4.5 5 5.5 6 6.5 6.75 7 7.5 7.25 8 8.25 8.5 8.75 10 10.5 11 11.5 12 12.5 13 13.5 14 14.5 15 15.5 16 16.25 16.5 16.75 17 17.25 17.5 17.75 18 Collar Location: Side 1 to Collar: Side 2 to Collar: Side 3 to Collar: Side 4 to Collar: Short: Long: Storm Collar Yes No Pipe Size Select Pipe Size No Pipe 1.25 1.5 2 2.75 2.5 3 3.5 4 4.25 4.5 4.625 5 5.5 6 6.5 6.75 7 7.25 7.5 7.75 8 8.25 8.5 8.75 9 9.5 9.75 10 10.5 10.75 11 11.25 11.5 11.75 12 12 X 16 12.25 12.5 13 13.125 13.25 13.5 13.75 14 14.25 14.5 15 15.25 15.5 15.75 16 Loose Collar Yes No Collar Height: Select height 1 1.25 1.5 2 2.75 2.5 3 3.5 4 4.25 4.5 4.625 5 5.5 6 6.5 6.75 7 7.25 7.5 7.75 8 8.25 8.5 8.75 9 9.5 9.75 10 10.5 10.75 11 11.25 11.5 11.75 12 12 X 16 12.25 12.5 13 13.125 13.25 13.5 13.75 14 14.25 14.5 15 15.25 15.5 15.75 16 16.25 Notes: Submit
