Trim-Out 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                Frigidaire or Gibson
 Qty                Supply Grills
5 Ton Seer Condenser 16x6 - 3 Way Grill
4 Ton Seer Condenser 14x8 - 3 Way Grill
3.5 Ton Seer Condenser 14x6 - 3 Way Grill
3 Ton Seer Condenser 12x8 - 3 Way Grill
2.5 Ton Seer Condenser 12x6 - 3 Way Grill
2 Ton Seer Condenser 10x6 - 3 Way Grill
5 Ton Heat Pump Seer 8x4 - 3 Way Grill
4 Ton Heat Pump Seer 16x6 - 2 Way Grill
3.5 Ton Heat Pump Seer 14x8 - 2 Way Grill
3 Ton Heat Pump Seer 14x6 - 2 Way Grill
2.5 Ton Heat Pump Seer 12x8 - 2 Way Grill
2 Ton Heat Pump Seer 12x6 - 2 Way Grill
1/2" Whip 10x6 - 2 Way Grill
3/4" Whip< 8x4 - 2 Way Grill
Disconnect Box 16x6 - Sidewall Grill
Liquid-Line Dryer - Ton 14x8 - Sidewall Grill
Suction-Line Dryer - Ton 14x6 - Sidewall Grill
Bi-Flow Dryer - Ton 12x8 - Sidewall Grill
Cheap Standard T-Stat 12x6 - Sidewall Grill
Cheap Standard H/P Stat 10x6 - Sidewall Grill
Digital T-Stat 8x4 - Sidewall Grill
Digital H/P Stat>  
Prog. T-Stat  
Prog. H/P Stat  

Qty              Miscellaneous Grills Return Air Grills - 1st # is Horz. Size
Flat Filtered
Qty                                  Size
                 
                 
                 
                 
                 
                 
                 
                 
                   
                   

Miscellaneous Info - Stats
Name:
Color:
Shape:
Features:
Cost Range:

If you have additional items you would like to put on this order, please enter them below.