SPA COVER O R D E R& M E A S U R I N G FORM

Pick Up? Drop Ship?

Distributor Name:Dealer Name:Address:City: St: Zip:Contact:Phone:Fax:

Job Name:PO#:Ship With Other Orders?Shipping Instructions: Ship To:

ORDER QUOTE ORDER W/ Emergency RUSH Service (Extra Charge)

Grade of Spa Cover: Economy Standard Deluxe Ultra

Spa Manufacturer: Brand: Model: Year:For Inground Spas:

Overlap requested on each side:

Heavy Duty Bottom Needed (Extra Charge)

Concrete Deck Hold Down Kit

Cover Design: 2 Piece 3 Piece Multiple Piece

Foam Material:

Skirt Length: 3" (standard) Other*

Bottom Material: Standard Gray Heavy Duty Bottom* *Additional CostColor:

Please Indicate Hinge Direction or we will split longest length

Please modify any of these drawings if necessary to show other cover shapes. Use a separate sheet of paper if necessary. Provide a template for Freeform Covers.

WO# or PO#

Indicate Strap and Handle Placement

Please indicate hinge direction. If direction is not indicated, we will split longest length given.Please indicate strap and handle locations.

Round

Rectangle WithRadius Corners

Radius

RectangleW/ 90 Corners

OctagonAll SidesAre Equal

Rectangle w/ Cut corners orMulti-Piece cover

Indicate Strap and Handle Placement

Indicate Strap and Handle Placement

Indicate Strap and Handle PlacementIndicate Strap and Handle Placement

Indicate Strap and Handle Placement

Almond

Ash

Black

Burgundy

Charcoal

Hunter/Forest

Light Blue

Light Gray

Navy

Russet (Brown)

Rust

Teal

3" - 2" Taper (Econ./Ultra) 4" - 2" Taper ( Std./Deluxe) 4" - 3" Taper ( Std./Del/Ultra)* 5" - 3" Taper ( Std./Deluxe)* *Additional Cost

*Additional Cost Over 3" Skirt

Safety Cover Material

(5% Upcharge)

Kaleidoscapes! Solid Safety Cover Material (10% Upcharge) COLOR________________

CUSTOM SPA COVER ORDER FORMAN AFFILIATE OF MERLIN INDUSTRIES,INC 2904 E.State St. Ext. - Hamilton, NJ 08619Phone 800-289-1836 Fax 800-289-9591

Thermo-Light**

** Thermo-Light Dimensions should be waters edgenot coping, cabinet or acrylic dimensions.

(Not included in dimensions provided)

Chocolate

Two CutCorners

Corners

RadiusDiagonal90

You must indicatehinge direction!

Indicate Strap and Handle Placement

One CutCorner

Corners

RadiusDiagonal90

You must indicatehinge direction!

Spillway (if required to fill)

Locatespillway onspa coverdrawing.

Full length hinge heat seal (Additional cost)Double vapor wrap (Additional cost)

Adobe

Green Blue Tan Gray