Custom Overhead Door, Inc.

Order Form


Now that you have seen what Custom Overhead Door can offer, fill out this form, and order your new garage door today. You can submit this form electronically by just clicking "submit", or you can print it out and mail or FAX it to us. If you have any questions, call 518-392-4443 or email Custom Overhead Door at ted@customdoors.com for assistance.


Bill to:

          Name:
  Organization:
       Address:
               
          City:  State/Province:
   Postal Code:
       Country:
     Telephone:
           Fax:
        E-Mail:


Ship to: (leave blank if same)

          Name:
  Organization:
       Address:
               
          City:  State/Province:
   Postal Code:
       Country:
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           Fax:
        E-Mail:


Payment style required:
Cash  Check  P.O.

Actual opening size: 

Jamb type:  wood    Steel

Floor poured:  Yes    No   Floor level:  Yes    No

Door height: center           LSLD 
               RSLD 

Backroom (door throw): OK   Not OK 

Floor to ceiling height at lowest point: 
Obstructions on ceiling?           What: 

Pads:  Yes    No

Sideroom clearance?  LSLD    RSLD 
Ceiling:             flat  sloped 
                    other 

Power:           Yes    No

Disposal:        Yes    No

Driveway clear:  Yes    No

Garage clean:    Yes    No

Door Information

Model        Color 	 Quantity 

Size    Insulation  Int. lock 

Windows:  Yes    No            Window size 
Window style      Quantity per section  
Section location 

Misc.

Spring and Track Type

NHR LHR EXT TORS Lift clearance Vertical lift Roof slope Note: More sideroom is required for LHR.

Operators

Door: wood Steel Normal installation Special Is there a header for the motor? Yes No Brand: Liftmaster 1/3 1/2 Link 1/3 1/2 Push button: Yes No Quantity Location of push button: Keyswitch: Yes No Quantity Location: Emergency disconnect: Yes No

Custom Overhead Door, Inc,
P.O. Box 375, Chatham, NY 12037
Call (518) 392-4443 Fax: (518) 392-5056


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