Rockwood LV-FL Fusible Link Fire Rated Louver Order Form

Architectural Door Accessories

Rockwood LV-FL Fusible Link Fire Rated Louver Order Form

Complete this form and email to: orders.rockwood@assaabloy.com / or fax to: 800-922-9212 Customer Information
Contact Name:	Date:
Account #:	Phone/Fax:	/
Email:	PO #:	Line #:
For 1 3 /4" wood or metal door only. When ordering use Cutout dimensions only (Width x Height). Please check box for partial shipment.
Stock LV-FL Sizes (only in Gray Primer, Beige, Dark Bronze Powder Coat):	Cutout Dimensions Only.	Custom Sizes (If not ordering stock size):
	DOOR	H:"
• 12" x 12" Qty: Finish: • 18" x 12" Qty: Finish:		W:"
• 18" x 18" Qty: Finish:	Finish (Bold indicates stock finish):	Minimum Width: 12" – Maximum Width: 24" Minimum Length: 12" – Maximum Length: 24"
• 24" x 12" Qty: Finish:	• Beige Powder Coat •	• Dark Bronze Powder Coat
• 24" x 18" Qty: Finish:	• 10BE • BSP	Gray Primer Powder Coat • WSP • WPC
• 24" x 24" Qty: Finish:	• RPC • BPC DOOR	• FBPC • 314E • Custom Powder Coat (Specify):
• Standard • Torx Fasteners:	Fasteners:	• Standard • Torx

*Add on charge will apply for all finishes other than Beige, Dark Bronze, and Gray.