Hager Electric Power Transfer Order Form
Open the original PDF document
View PDFELECTRIC POWER TRANSFER ORDER FORM
Choose One
| ROTON CONTINUOUS GEARED HINGES | |||
|---|---|---|---|
| STAINLESS STEEL CONTINUOUS GEARED HINGES | |||
| Customer Name | |||
| Sales Order # | |||
| P.O. # | |||
| Part # | |||
| Handing | |||
| Hinge Length | |||
| Quantity | |||
| Door Thickness | |||
| Cutout Location* |
*Top of door to center of power tranfer
cutout. |
||
| Choose One | |||
| Manufacturer | Power Transfer Part # | ||
| ABH | PT105 | ||
| PT180 | |||
| ABLOY | EA280 | ||
| EA281 | |||
| ADAMS-RITE | 4612-1 (150 DEGREE) | ||
| 4612-2 (180 DEGREE) | |||
| DORMA | |||
| PRECISION | EPT-5 | ||
| RCI | 9512 | ||
| 9513 | |||
| SECURITRON | EPT | ||
| EPTL | |||
| VON DUPRIN | EPT2 | ||
| EPT10 | |||
| PNT1 | |||
| Other: | |||
| (please furnish drawing for cutout prep) | |||
| Customer Signature | |||
| Date | |||
| Please return to | via fax to 800-782-0149. | ||
HAGER COMPANIES
139 Victor Street St. Louis, MO 63104 800-325-9995 (ph) 800-782-0149 (fax)
www.hagerco.com