Standard Lift/Dual Track Survey Form - Bug Blocker®

Standard Lift/Dual Track Survey Form

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

1) Any interference for Rasco Track? Yes No
2) High lift the existing track 8 inches (best)
    Add 12in. or 24in. panel to top of opening
3) Distance from floor to existing track.
4) Distance from wall to furthest part of existing track
at the top of the opening.
5) Opening width Opening height
6) Distance from bollard to existing track.
7) Distance from outside to outside of existing track.
8) Existing door width Existing door height
9) Does the existing lower track need replacing?
No 2 inch track 3 inch track   
10) Is the Rasco door to be motor operated? Yes No
11) Mesh size
12 mesh stainless 30 mesh stainless
chain link 11 gauge expanded metal stainless

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)