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Tel. 0800 6444 121 We accept all major credit cards

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Please fill in your details below and measure as accurately as possible in millimetres, see the 'view of opening diagram' below, and put the sizes in the boxes 1-5 below.

Name		Address
Telephone		Town / City
Mobile		County
Email address		Postcode

Select your fixing type...

Please select your fixing type

	A) Face Fix (fixing behind the opening)
	B) Face Fix (fixing infront of the opening)
	C) Reveal fix (fixing between the opening)
	D) Combination to face fix and reveal fix
	E) Undersize fix (where some of the guide track will be into the opening)

1		Brick to brick width (must be measured at the narrowest point for reveal fix option)
2		Floor to underside of lintel
3		Clear space available on back of brick/block pillar. If no space available and will be reveal fix please write zero in box 3
4		Clear space available on back of brick/block pillar. If no space available and will be reveal fix please write zero in box 4
5		Headroom between underside of lintel and lowest point of ceiling / joist
	Motor Left Motor Right Please select your motor position	Preferred side of motor, viewed from inside garage
	Compact 55mm Profile Excelsior 77mm Profile Quote for Both Please select your profile size	Profile size
		Door colour
		Notes / Message
		Anti Spam question - Sum of 4 + 10?

Web Design LincolnEclipse World Ltd. 3 Moorwell Business Park, Scunthorpe, Nth Lincolnshire, DN17 2RU. Registered in England
Company number: 03681745 | VAT number: 684 0510 43