Rough-In Order Form

Company Name:

Date:

Phone:

Pick-Up Time:

Who will be picking up this order?

Email:

At which store will you be picking up your order?
Qty Ton Frigidaire or Gibson Qty Insulated or Non-Insulated
BTU Multi Position Furnace 14x8x9 STK.BOOT
BTU Multi Position Furnace 14x8x9 END.BOOT
BTU Multi Position Furnace 14x8x9 ANG.BOOT
BTU Multi Position Furnace 14x6x8 STK.BOOT
  Qty Check Proper Type 14x6x8 END.BOOT
  5 TN Coil "A" or Horz Plenum 14x6x8 ANG.BOOT
  4 TN Coil "A" or Horz Plenum 12x6x7 STK.BOOT
  3.5 TN Coil "A" or Horz Plenum 12x6x7 END.BOOT
  3 TN Coil "A" or Horz Plenum 12x6x7ANG.BOOT
  2.5 TN Coil "A" or Horz Plenum 10x6x6 STK.BOOT
  2 TN Coil "A" or Horz Plenum 10x6x6 END.BOOT
  Qty Frigidaire or Gibson 10x6x6 ANG.BOOT
  5.5 Ton Air Handler
Variable Speed?		 8x4x5 STK.BOOT
  5 Ton Air Handler 8x4x5 END.BOOT
  4 Ton Air Handler 8x4x5 ANG.BOOT
  3.5 Ton Air Handler Boot Rails
  3 Ton Air Handler 12x10x9 WYE
  2.5 Ton Air Handler 12x9x9 WYE
  2 Ton Air Handler 10x9x7 WYE
  14x20 F/C Fltr Base 10x8x8 WYE
  14x25 Furn Fltr Base 9x8x7 WYE
  16x20 F/C Fltr Base 9x7x7 WYE
  16x25 Furn Fltr Base 8x7x6 WYE
  Filter Base to Fit: 8x7x5 WYE
  5KW Heat - No Brkr 8x6x6 WYE
  8KW Heat - No Brkr 7x6x5 WYE
  10KW Heat - No Brkr 6x5x5 WYE
  10KW Heat - W/Brkr 14" DB Triangle
  15KW Heat - W/Brkr 12" DB Triangle
  20KW Heat - W/Brkr 10" DB Triangle
  20x20-F/C-Fltr Base 8" DB Triangle
  20x25-Furn-Fltr Base Emergency Drain Pan - Size
  20x25-F/C-Fltr Base Ret.Air Fltr Box
  24x24-Furn-Fltr Base T-Stat Wire - 2W
  Qty R-6       R-8 T-Stat Wire - 3W
  Flex Duct - 18" T-Stat Wire - 5W
  Flex Duct - 16" T-Stat Wire 8W
  Flex Duct - 14" PVC Pipe - 10ft
  Flex Duct - 12" Duct Tape
  Flex Duct - 10" Foil Tape - 2"
  Flex Duct - 9" Foil Tape - 3"
  Flex Duct - 8" Sht.Mtl. Frame Rails
  Flex Duct - 7" Gas Stop 1/2"
  Flex Duct - 6" Gas Stop 3/4"
  Flex Duct - 5" Hngr Strap - Size
  Flex Duct - 4" Mtl Strap - Size
Qty Type   Panduit Strps (50)
18" Collars Flexgas Line - Size
16" Collars Screws - Size
14" Collars Duct ealant - Gal.
12" Collars Copper Tubing 3/8"
10" Collars Copper Tubing 5/8"
9" Collars Copper Tubing 3/4"
8" Collars Copper Tubing 7/8"
7" Collars Copper Tubing 1-1/8"
6" Collars Armaflex Thickness
5" Collars Armaflex 5/8"-(6ft)
4" Collars Armaflex 3/4"-(6ft)
  MTL Pipe - Size Armaflex 7/8"-(6ft)
  MTL Pipe - Size Armaflex 1-1/8"-(6ft)
  MTL Pipe - Size    
  Elbows - Size    
  Elbows - Size    
  Elbows - Size    
  Elbows - Size    
  4" Flue Pipe - 5FT    
  4" Flue Pipe - 4FT    
  4" Flue Pipe - 3FT    
  4" Flue Pipe - 2FT    
  4" Flue Pipe - 1FT    
  4" DW Elbow    
  4" Storm Collar    
  4" Roof Flashing    
  4" Flue Cap    
If you have additional items you would like to put on this order, please enter them below.