Frame (shaded portion) not included.

Aleco Order Number:

Date: ___ / ___ / ___

DOOR FEATURES & OPTIONSTEAR-DROP BUMPERS

(POLYETHYLENE)IMPACT PANELS

[ ] 12" High

_____" High

[ ] 18" High[ ] 24" High

[ ] 36" High[ ] 42" High[ ] 48" High

WINDOW SIZES (Rectangular Dual Pane Screw Mount)14" x 16" is standard

[ ] 7 1/2" x 10 1/2"

[ ] Jamb & Header Only

[ ] 11 1/2" x 15 1/2"[ ] 16" x 18"[ ] 24" x 24"

[ ] Single Pane Window for Wash Down

Specify Size: _____" W _____" H

SEALS

[ ] 4" Light Duty Spring [ ] 4" Heavy Duty Spring[ ] Spring Compensator (requires a 8 3/4" jamb guard)

FOR PRESSURE AND WIND LOADS

Full Perimeter Air Seal is standard

[ ] 1 1/2 Rise 90˚ x 135˚ Angle[ ] 1 1/2 Rise 90˚ x 180˚[ ] Deep Seat Cam 90˚ x 90˚

[ ] WASH DOWN PACKAGE: Teflon Coated Hardware

V-CAM OPTIONS 1 1/2” Rise 90˚ x 90˚ is standard

P/N 9941350712

Aleco Part Number:

Account Number:

Sold To:Address:

Purchase Order #:

Ship To:Address:

Special Markings/Instructions:

Quantity: Single or Bi-Parting (check one)

Net Opening: _____" Wide _____" High

Please fill out specifications form and send to Aleco. Add dimensions to illustration below. Signature is required before production can begin.

Specifications: 1 3/4" Insulated, Semi-Flexible

[ ] ABS [ ] Stainless Steel

Approved: ______________________________Date: ______________

IMPORTANT! SIGNATURE REQUIRED BEFORE PRODUCTION

I have reviewed the specifications and authorize Aleco tobegin immediate manufacturing ofI understand that this product will be custom made to myorder specifications and is non-returnable.

ImpacDor FD-175.

Company Name: _______________________ Phone: _____________

SPECIAL OPTIONS / NOTES

___________________________________________________________

___________________________________________________________

___________________________________________________________

APPROXIMATE WEIGHT

7.0 lbs. per sq. ft. X ___________ sq. ft. = ____________ lbs.

SignHere

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2720 E. Avalon Ave. Muscle Shoals AL, 35661 • Phone (256) 248-2402 or toll free 1-800-633-3120Fax: 1-800-750-9616 • email: info@aleco.com • web: www.aleco.com

LOWER HINGEBottom bearing is standard[ ]

JAMB GUARDS8 3/4” High x 3” Deep Zinc Plated[ ]