Order Form by A343R5

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									                                                                               Customer
                                                                               Contact
                                                                               Ship To Address
                                                                               City, St, Zip
                                                                               Phone #                      Fax #
                                                                                 PO#             Job Name
  P.O. Box 265 · 453 Industrial Way · Molalla, Oregon 97038                    Ship Via                                              Will Call
 Ph: (503) 829-7366 or (800) 331-6013 · Fx: (503) 829-7367 or (800) 522-3248     Order                      Requested
 email orders: orders@brentwoodcorp.com · website: www.brentwoodcorp.com          Date                       Ship Date
      Hardwood Series                                       Rigid Thermal Foil (RTF) Series
Wood Species                                          Foil Type
                                                                                                        ORDER               QUOTE
Doorstyle                                             Backer Color
DF Style: Solid              5-Pc rail size =         Doorstyle                                                     3mm
                                                                                                 Hinge Bore                  8mm Pilot Holes
Panel Profile                                         Door Style                                                    6mm

Cope & Run                                            DF Style
                                                                                                 Fingerscoop        No    Yes, side(s) =
Edge Profile
     Qty. Width            Height          Style             Notes                  Qty. Width    Height       Style           Notes
 1                                                                             26
 2                                                                             27
 3                                                                             28
 4                                                                             29
 5                                                                             30
 6                                                                             31
 7                                                                             32
 8                                                                             33
 9                                                                             34
10                                                                             35
11                                                                             36
12                                                                             37
13                                                                             38
14                                                                             39
15                                                                             40
16                                                                             41
17                                                                             42
18                                                                             43
19                                                                             44
20                                                                             45
21                                                                             46
22                                                                             47
23                                                                             48
24                                                                             49
25                                                                             50
Order Acknowledgements: All orders received by Brentwood Corp will be followed by an order acknowledgement, either by fax, email or
sent by mail, within 24 hours. Brentwood Corp, relies on the customer to review all order acknowledgements for any discrepancies and to
contact our order entry department if any are found. In the event a discrepancy does exist, and has not been reported in an appropriate
timeframe, a change order with an associated charge may result. Hardwood NOTE: Unless specified, all doors over 52" in height will
automatically receive a muntin and doors over 30" in width will automatically receive a mullion.

								
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