How to use this form: Print the form out, fill in as much information as you can, transfer it to this form online and click submit to email the form to us. Or print out the form and fax it to 888 292-2088. One of our representatives will process the information and contact you.

* Denotes required fields

A.   Wall opening width inches

B.   Wall opening height inches

C.   Wall opening thickness on left (if wall does not project, indicate thickness of 0) inches

D.   Wall opening thickness on right (if wall does not project, indicate thickness of 0) inches

E.   Wall opening thickness on top (if top of wall does not project, indicate thickness of 0)

F.   Distance, on left, from opening to adjoining wall or obstruction (if opening does not project,            indicate distance of 0) inches

G.  Distance, on right, from opening to adjoining wall or obstruction (if opening does not project,           indicate distance of 0) inches

H.  Distance, on top, from opening to adjoining ceiling (if opening does not drop from ceiling,             indicate distance of 0) inches

I.   Height from floor to ceiling inches

J.   Wall width inches

A. About your home

1.  New construction or adding on.

2.  Existing home. Approximate age of home  years.

3. Number of colonnades required

4. Approximate square footage of home

B. About the room

1. Kind of room living room, dining room, bedroom, den, other

2. Dimensions of room

3. Kind of trim painted, natural wood - stain color

4. Describe the room formal, informal, country, traditional, other

5. Kind and color of furniture in the room

C. Kind of colonnade you prefer (check all that apply)

1.  Stain grade or paint grade

2. Type of wood poplar, quarter sawn oak, cherry, mahogany, heart pine, other

3. Style Plain/simple, fancy/ornate, Formal/stately, Delicate, Massive

D. How did you hear about us?  (check all that apply)

1.  From a satisfied customer who purchased a colonnade or mantel from us

2.  From a friend or relative who has visited our shop

3.   From a friend or relative who saw Mantels of Yesteryear's display at a trade or home show

Name of show

4.   From an architect builder designer who saw Mantels of Yesteryear in a source book

Name of book

5.  From an advertisement or billboard

Name of publication

6.   Just happened to see our shop and stopped to visit and look

7.  Phone book

Name of book

8. Other

For the Home of:

* Name:

 Address:

 City, State, Zip

 Home Phone:

 Business Phone:

 Business Fax:

* Email:

Best time to reach you

Is there a style that you would like to consider? Model Number(s)