Date: ______________
Ship Via:
Our Truck Pick Up UPS
PO Name: ___________________
Porta Door Order #: _______________
Sold To: ________________________________________
Phone: _________________________________________
Address: _______________________________________
Fax:_ ___________________________________________
City: ________________ State: _______ Zip: __________
Email: _________________________________________
Wood Material
Material Thickness
Clear Finish
Notch & Drill
1/2
5/8
3/4
Yes
No
Yes
No
Quantity
Width
Depth
Height
Scoops? (circle)
Special Notes
Yes
No
1
Yes
No
2
Yes
No
3
Yes
No
4
Yes
No
5
Yes
No
6
Yes
No
7
Yes
No
8
Yes
No
9
Yes
No
10
Yes
No
11
Yes
No
12
Yes
No
13
Yes
No
14
Yes
No
15
Yes
No
16
Yes
No
17
Yes
No
18
Yes
No
19
Yes
No
20
Additional Notes:
Yes
No
21
Yes
No
22
Yes
No
23
Yes
No
24
Yes
No
25
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