CHIMNEY FLASH ORDER FORM DATE- 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 Face 4.5" Short 6.5" Tall Rush + $75 Custom Chimney Flashings Quantity A - .25" A B - 125" B C - Face C length D 1/2" HEM AT BOTTOM OF FACE? CHECK BOX IF YES- Step Flashings 8" * 12" Step Flashings 12" * 12" Custom A B C D