Estimate
Submission Form
JEBCO INC.
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Contact Information:
* Marks Required Fields
*
Contact Name:
*
Company Name:
*
Address 1:
Address 2:
*
City:
*
State:
Alabama
Alaska
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
Florida
Georgia
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Ohio
Oklahoma
Oregon
Pennsylvania
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
Vermont
Virginia
Washington
West Virgina
Wisconsin
Wyoming
N/A
Country:
*
Zip:
*
Phone:
(ie xxx-xxx-xxxx)
Fax:
(ie xxx-xxx-xxxx)
*
Email:
Only Used for Contact Purposes
Estimate Information:
*
Door Size:
*
Hand (Swing):
Right Hand
Left Hand
*
Frame Type:
Single Door
Pair of Doors
Single w/ Transom
Pair w/ Transom
Single w/ Sidelites
Pair Sidelites
Single w/ Transom & Sidelights
Pair w/ Transom & Sidelites
Other
None
Frame Size:
*
Color Finish
(xx)
:
Bronze
Clear
Painted
Other
*
Glazing Type:
1/4 inch
1 inch
(xx)-Painted is Special Order ONLY
Private Labeling:
Yes
No
Welded Corners:
Yes
No
(No charge!)
*
Knocked Down:
Yes
No (Disassembled)
Hardware
*
Hinge Type:
Offset Pivots
Butt Hinge
Immediate Offset Pivot Set
Other
None
*
Push & Pull Type:
Round Bar
Contour Pull
Flat Grove Pull w/ Flat Bar
Contour Pull w/ Panic Device
Other
None
*
Locking System:
Panic Device
Standard Locking
Other
*
Locking Features:
Paddle Push
Lever Handle
Cylinder Lock w/ Long Throw Deadbolt
Cylinder Lock w/ Hook Throw
Thumb Turn w/ Long Throw Deadbolt
Thumb Turn w/ Hook Throw
Inactive Leaf (Only for Pairs)
Other
Custom Sizes and
Hardware Available
upon Request
Other Information: