Prestige Glass Door Request Form

Stained and Beveled Leaded Glass Art

Door Request Form

*Required Field

I would like to: Request a quote Schedule an appointment
Your Name	*
Your E-mail	*
Daytime Phone	*
Street Address	*
City	*
State	*
Zip	*

Builder Name
Lot # and Subdivision
Please complete the following:
Door Size: Width X Height Measured in INCHES to the closest fraction possible
Check One: Single Door Double Doors Full-Lite Door 3/4 Lite Door Other
For each item, please describe designs/style desired and other comments: (Example: Stratford design door and two 10" wide matching sidelights)
Hand of Door (check one):	Right Hand (active door pushes in to the right) Left Hand (active door pushes in to the left)
Lockset Bore - Active Door ONLY (check one):	Single Bore Double Bore on 5 1/2" Center Other
Hinge Color:	Oil Rubbed Bronze (very dark) US10-B Nickel (silver type color) US15 Antique Nickel US15-A Brass (brass/gold type color) US3
For Remodeling Projects or New Construction, please answer the following questions:
Existing Home	New Construction New Construction Stage Framing Rough Mechanical Drywall Paint/Trim
Do you need us to supply a door frame? Yes No If so, please answer the following questions.
Rough Opening:	Width X Height Measured in INCHES to the closest fraction possible
Wall (frame)Thickness (check one):	2" x 4" Frame 4 9/16" jamb 2" x 6" frame 6 9/16" jamb
Exterior Molding (check one):	Brick Mold (PVC) 1" x 4" PVC 1" x 4" with back band PVC
Additional comments or questions?
Thank you for your request. You will be contacted as soon as possible.

Prestige Glass, Inc.
2931 Lewis Street, Suite 500 Kennesaw, GA 30144
Office: (770) 422-2111 Fax: (770) 422-1555
Located in Kennesaw, Georgia