Quick Ship Online Order Form, Western Integrated Materials, Inc.

	Western Integrated Materials, Inc. 3310 E. 59th Street Long Beach, CA 90805

Phone: 562.634.2823 | Fax: 562.634.8449

Online Orders Go Direct To Production

Required

Company Name:
Ordered By:
P.O. #:
Job Name:
E Mail:
Phone Number:
Fax Number:
Request Date:
or
Request Date:

Will Call:
Ship To:

This Online Order Form is for Western Integrated Standard Cutting

Qty:
Width:
Other Width:
Height:
Other Height:
Wall:
Other Wall:
Finish:
LH:
RH:
Pair:

Misc. Info.

Trim:
Scribe:
Prep:
Vinyl:
Label:

US26D Extended Lip Strikes:	Yes
Sill Channels Required:	Yes For Sidelites / Windows

Hinge Locations are Top to Top with Strike at the Center Line

Hinge & Strike Locations:

If Non Standard

1st Hinge:
2nd Hinge:
3rd Hinge:
4th Hinge:
ASA Strike Location:

All Online Orders are Confirmed Via E Mail

Comments:

Please select an option on the drop down menu below

There will be an add on to this order:

Western Integrated Materials, Inc.