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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)
No. of Screens Needed: Size: (width) (Height)
*Minimum order of 6 screens. Can be a combination of multiple sizes
Frame Color (check one):          
Screen Mesh (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 11/16"
 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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Truth Hardware Color Chart   
Blaine Window Hardware Inc.
17319 Blaine Drive
Hagerstown, Maryland 21740
1-301-797-6500 Option #2
orders@blainewindow.com

  

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