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Class/Design Pressure in PSF777
Wind Velocity in MPH
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Cust. Name
Phone Number
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Phone Number
Cant. Date
Address
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County
Sales Rep-
Phone Number.
Frame Type
Block / Wood
Exterior Siding
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lead Test Y[N,
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Color
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Grids
Frosted
Impact
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Non -Impact
Qty.
WindowDo Shields
Qty.
Entry Door
Qty
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Customer
agrees to the above
Nr
Room
W
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.Style
Series
OBS
Temp
Screen
Grids
Add'I Options
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Customer Signature: Date:
Do you live In a flood zone: Yes or No (Please circle one)
Measured By:
Date: