ClearView Doors – Gallop Brush Co.

Door Information

*All dimensions must be in inches.

A - Top Opening Width*

B - Bottom Opening Width*

C - Finished Opening Height*

D - Left Side Room*

E - Right Side Room*

Headroom to Obstacle?*

F - Headroom to Obstacle*

G - Headroom to Ceiling*

H - Backroom to Obstacle*

I - Conveyor Interference Y/N*

Entrance / Exit Door*

Interior / Exterior Mount*

Motor Mount*

Clear Panels*

Color Choice*

Notes

Company Title*

Contact Name*

Address*

Street Address City State / Province / Region ZIP / Postal Code

Email*

Phone*

Estimate Number*

Estimate Date*

Agreement*

By checking this box I understand that the door will be engineered specifically to fit the measurements I have supplied. I take full responsibility for all information on this form.

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