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Service Door Screen Insert Survey Form - Bug Blocker®

Service Door Screen Insert Survey Form

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

Standard insert sizes
25″ W x 35″ H  
25″ W x 31″ H  
25″ W x 25″ H
Custom Size - width x height
1) Door thickness 1-3/4″? Yes No
2) Screen mesh:
    course 12 mesh stainless fine 30 mesh stainless
3) Select cover panel:
    Steel insulated (standard size only)
    3/8″ thick polycarbonate
4) Optional 1/2″ square aluminum security bars spaced 6″ apart?
    Yes No
5) Storage rack? Yes No
   (Storage rack may be mounted on bottom half of door
   if a second insert is not used)

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)