Wall Mount Template - Work Order Form
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1Fax this form to 773.583.2312
For assistance call 773.583.2300
Wall Mount Template Work Order Form
Miter – Plan Views
½
Degree 45
22
Date
Glass
Glass
color
thickness
Company
# of
Diameter
holes
# of
Hinge
hinges
model
Tel #
If miter: Please circle the appropriate plan view and degree.
Indicate on the diagram areas to be polished or seamed.
PO #
Special instructions:
Total number
of pieces
ordered
Item _________ of ___________
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