CHASE COVER ORDER FORM NAME- PHONE# PO/JOB- Material: STAINLESS STEEL GALVANIZED COPPER BLACK BROWN WHITE DARK BRONZE PRIMER SIERRA TAN BRONZE GRAY GALVALUME WEATHERED COPPER OLD ZINC GRAY Chase Cover Size 1) Long Side: 2) Short Side: 3) Long Side: 4) Short Side: Collar Height: Select height 1 1.25 1.5 2 2.75 2.5 3 3.5 4 4.25 4.5 4.625 5 5.5 6 6.5 6.75 7 7.25 7.5 7.75 8 8.25 8.5 8.75 9 9.5 9.75 10 10.5 10.75 11 11.25 11.5 11.75 12 12 X 16 12.25 12.5 13 13.125 13.25 13.5 13.75 14 14.25 14.5 15 15.25 15.5 15.75 16 16.25 Skirt Height: Skirt height 1 1.25 1.5 2 2.75 2.5 3 3.5 4 4.25 4.5 4.625 5 5.5 6 6.5 6.75 7 7.25 7.5 7.75 8 8.25 8.5 8.75 9 9.5 9.75 10 10.5 10.75 11 11.25 11.5 11.75 12 12 X 16 12.25 12.5 13 13.125 13.25 13.5 13.75 14 14.25 14.5 15 15.25 15.5 15.75 16 DRIP EDGE: Yes No Additional Features Rush + $75: COLLAR CENTERED: Yes No COLLAR SHAPE: Select Collar Shape ROUND RECTANGLE SQUARE LOOSE COLLAR NO COLLAR COLLAR SIZE: Select Collar Size 1 1.25 1.5 2 2.75 2.5 3 3.5 4 4.25 4.5 4.625 5 5.5 6 6.5 6.75 7 7.25 7.5 7.75 8 8.25 8.5 8.75 9 9.5 9.75 10 10.5 10.75 11 11.25 11.5 11.75 12 12 X 16 12.25 12.5 13 13.125 13.25 13.5 13.75 14 14.25 14.5 15 15.25 15.5 15.75 16 LOOSE STANDING COLLAR/SPIN RING: Yes No SIDE A1 TO COLLAR: SIDE A2 TO COLLAR: SIDE A3 TO COLLAR: SIDE A4 TO COLLAR: Short- Long- Storm Collar Yes No S.C. Flange Select S.C. Flange 1.25 1.5 2 2.75 2.5 3 3.5 4 4.25 4.5 4.625 5 5.5 6 6.5 6.75 7 7.25 7.5 7.75 8 8.25 8.5 8.75 9 9.5 9.75 10 10.5 10.75 11 11.25 11.5 11.75 12 12 X 16 12.25 12.5 13 13.125 13.25 13.5 13.75 14 14.25 14.5 15 15.25 15.5 15.75 16 Pipe Size Select Pipe Size 1.25 1.5 2 2.75 2.5 3 3.5 4 4.25 4.5 4.625 5 5.5 6 6.5 6.75 7 7.25 7.5 7.75 8 8.25 8.5 8.75 9 9.5 9.75 10 10.5 10.75 11 11.25 11.5 11.75 12 12 X 16 12.25 12.5 13 13.125 13.25 13.5 13.75 14 14.25 14.5 15 15.25 15.5 15.75 16 Corner Bolts Yes No
