THIS FORM WILL NOT PLACE AN ORDER IT IS TO VERIFY YOUR MEASUREMENTS AND HAS TO BE FILLED OUT PRIOR TO PURCHASE.
AFTER YOU HAVE SUBMITTED THE FORM YOU CAN CALL US
WITH YOUR CREDIT CARD INFORMATION AND PLACE THE ORDER
1-888-986-1535 or 814-723-9394. THANK YOU.


CODE INFORMATION:
What the Building Code says click here for more information.
To Comply with the Code is the responsibility of the customer.

A B C D
Length of facing material
Marble, Brick Tile, etc.
Depth of facing material
Marble, Brick Tile, etc.      
Distance to Door,
Window, etc          
          
Height of facing material
Marble, Brick Tile, etc.
E F G H
Length of facing material
to end of hearth
Height of Hearth       Inside width between
facing material:
Marble, Brick Tile, etc.           
Inside Height between
facing material:
Marble, Brick Tile, etc.
 

Desired Opening Size Of Mantel

 
  X - Opening Width Y - Opening Height  
  Desired Width Between legs      Desired opening height from hearth to breast plate           
   
 
Name of Mantel Line:   Web Price:
Select a Mantel
Select a Finish
Choice Of Wood:
 
Specify Facing Material of your Fireplace
Brick:   Stone:  Marble:  Tile:  Other:
 
Shipping as per our shipping page: click here for shipping rates
 
 
Customer & Delivery Information
Ship To Commercial Address: Ship To Residential Address:
First Name: Last Name:
Street: City:
State: ZIP Code: 
Phone Number:  
 
Email Address:
 
 
THIS FORM WILL NOT PLACE AN ORDER IT IS TO VERIFY YOUR MEASUREMENTS AND HAS TO BE FILLED OUT PRIOR TO PURCHASE.
AFTER YOU HAVE SUBMITTED THE FORM YOU CAN CALL US
WITH YOUR CREDIT CARD INFORMATION AND PLACE THE ORDER
1-888-986-1535 or 814-723-9394. THANK YOU.