Survey Form – Premium Insulated Roller Garage Door

Information

First Name *

Last Name *

Address Line 1 *

Address Line 2

Postcode *

Telephone *

Mobile

Email *

Fax

Installation Options

Brick to brick width mm

(must be measured at narrowest point for reveal fix option)

Floor to underside of lintel mm

Clear space available on back of brick / block pillar * mm

If no space available and will be reveal fix please write zero

Clear space available on back of brick / block pillar * mm

If no space available and will be reveal fix please write zero

Headroom between underside of lintel and lowest point of ceiling / joist * mm

Fitting Option

Preferred side of motor, viewed from inside garage

Top Cover Box

Door Colour

Delivery Options

England and Wales, excluding postcodes EX, TQ, PL, TR, LD and SA £60.00

Postcodes Ex, TQ, PL, TR, LD and SA £90.00

Scotland postcodes - phone for a price

Collect from factory £0.00

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