Custom Unit Quote Form (3-sided)

Please fill this form so that we can best serve you. Please contact us directly at info@Mason-Lite.com if you do not receive a quote within two business days.

Name*
First Last
Zip Code*
ZIP / Postal Code
Email*
Phone
Company*
Fuel Type*
- Wood Burning
- Gas Burning
- Vent Free (Gas Burning)
Outside Air Kit Hole*
- None
- Yes
Finshed Height (Inches)(30.5 Standard)( please do not use the " symbol)*
Finished Width (Inches)( please do not use the " symbol) (Width of the single Side Wall)*
Finished Depth (Inches)( please do not use the " symbol) (Depth from Side Wall Brick to Open End)*
Chimney Height (Feet from Floor)( please do not use the ' symbol)*
Comments/Additional Info
Please Upload Relevent Files (Max 10MB)
Note: This unit is 100% custom and is built to the masonry code NFPA 211. This fireplace is non-refundable and requires a 50% deposit on order and 50% upon shipment. We do not supply the angle iron with these units, but recommend using 4" X 3" X 3/8" angle iron. Any See Through or Multisided units we also recommend the use of an exhaust fan to insure a proper draft. Structural Engineering may be required, if so the cost will be $400 that we pay directly to our SE. Please sign and return a copy of this drawing when submitting your order.*
- I agree to these terms

By Jake Hornsby

Custom Unit Quote Form (3-sided)

Custom Unit Quote Form (3-sided)

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