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Blaine Custom Orders


Blaine Custom Orders


Customer Name:
Account Number:
Address:
City: State: Zip Code:
Phone Number:   Ext: (Enter Phone: xxx-xxx-xxxx)
Fax Number
Contact Name:
Email:
Screen Types
No. of Screens Needed: Size: (width) (Height)
*Minimum order of 6 screens. Can be a combination of multiple sizes
Frame Gauge (check one)  
Finish (check one):      
Screen Cloth (check one):      
 
Crossbrace Required (check one): No
Horizontal: inches up from the bottom
Vertical: inches from the right rail
Screen Selection (Please check frame number)
5/16" X 3/4"
7/16" X 3/4"
1/4" X 3/4"
3/8" X 3/4"
3/8" X 3/4"
Screen Hardware (Locate hardware placement on chart below)
If no hardware is required, please check here
Hardware Location Number Qty Position on Frame
(inches from end - tip or corner)
Installed on
Headrail
Installed on
Sill Rail
Installed on
Left Rail
Installed on
Right Rail

 

   
1. Plain Plastic Screen Clips
2. Frame Tension Spring
3. Clip & Screw
4. Knife Latch
5. Frame Tension Spring
6. Lift Tab
7. Metal Plunger
8. Plastic Plunger


Signature of Authorized Buyer Title Date
           






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