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"Let the fresh air in and keep the pests out!"

Exterior Mount Survey Form - Bug Blocker®

Exterior Mount Survey Form

PLEASE INCLUDE UNITS WHEN SPECIFYING SIZES (e.g., ft., in.)

1) Opening width Opening height
2) Is there clearance above for door?
   (opening height + door height + 2 feet) Yes No
3) Is there side to side clearance?
   (opening width + 6 inches) Yes No
4) Any other interference on outside of building? Yes No
   If yes, describe
   
5) Mesh size
    12 mesh stainless 30 mesh stainless
    chain link 11 gauge expanded metal stainless
6) Is the door to be motor operated? Yes No
7) If the door is to be motor operated,
   should we send a cover for the motor? Yes No
8) Is a hood cover needed? Yes No

Required Fields *
Company Name *
 PO Number
Phone *
 Fax *
Address *
City *
 State *
Zip Code *
 Prepared By *
Quantity *
 Date Required *
Email *
 Tag
Special Instructions (If you are seeking a quote, please note that here)