subject_line
Custom Heatshield Order Form
Customer Information
First Name
*
Last Name
*
Phone Number
*
Street Address
*
City
*
Email Address
*
Model & Manufacturer
Manufacturer
*
Model
*
Work Order/Invoice #:
*
Heatshield Specifics
Components
*
Complete Heatshield
Skin Only
Inner Only - Both Sides
Inner Only - One Side
Insulating Foam Core
*
Original - 3" to 2" Taper
Power Guard - 4" to 3" Taper
Skirt Length (Inches)
*
Standard 4"
Custom Length
Length of Skirt (Inches)
*
Colour of Vinyl:
*
Tan
Steel
Jade
Midnight Blue
Determine Location of the Straps (Required)
In inches, measured from the centre of the cover to the centre of the strap:
*
Length of vinyl straps from the bottom of the skirt to the bottom of the buckle:
*
Shape & Dimensions
Measure the outside of the hot tub in INCHES based on the following shapes:
Indicate Shape:
*
Square or Rectangle
Square with Round Corners
Round
Octagon
Rectangle with Round Corner
Square with Cut Corners
Rectangle with Cut Corners
Cut Corner
Indicate Length of A:
*
Indicate Length of B:
*
Indicate Length of C:
*
Indicate Length of D:
*
Indicate Length of E:
*
Indicate Fold:
*
Fold 1
Fold 2
Indicate Radius:
*
Comments & Special Instructions
Associate:
*