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Please complete the requested information below so that we may give you the best information available in a timely manner. Required Information denoted in red. Company Name Company Address City State Zip Job Name F.O.B. Contact Name Work Phone Fax Email Address Wood Veneer - Red Oak White Oak Natural Birch White Birch Mahogany Cherry Maple Walnut Primed Hard Board Primed MDO Other Cut - Rotary Plain Sliced Quartered Rift Core - Solid Particle Board Stave Lumber Hollow Mineral LSL Edges - Matching Hardwood Veneered Soft Wood Grade - AA A Economy Paint Grade Match - Book & Running Other, please specify Louvers - Flat Slat V Slat Other, please specify Light Mouldings - Cutout Only Flush Lipped MVP Other, please specify Door Qty Door Size: W x L x Thickness Fire Rating Pair Matched Lite/Louver Cutout Size Hinges Cyl Lk Mort Lk Strike/ Flushbolts Exit Device MEA Other Finishing Available Upon Request none Unfinished Standard Custom Color Primed Comments:

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