CJ's HOME DECOR & FIREPLACES
APPOINTMENT SCHEDULER - FIREPLACE DIMENSIONS WORKSHEET
Fill out as much information as possible

A-Width Of Facing: 1-Width Of Fireplace Opening:
B-Height Of Facing: 3-Height Of Fireplace Opening:
C-Width Of Side: 5-Width of Fireplace In Rear:
D-Length Of Hearth: 6-Height Of Fireplace In Rear:
E-Depth Of Hearth: 7-Depth Of Fireplace:
F-Height Above Hearth:  
G-Height Of Hearth:  
H-Distance To Window:  
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Additional Information - Please select from drop down menu:
Type of Fireplace:  
Fireplace Facing:  
Type Of Chimney:  
Chimney Location:  
Chimney Height:  
Reason For Change:  
Sq. Ft. Of Room or House to Heat:

Installation Request For:
Please let us know the scope
of what you want us to do:

  
Customer Information:  
First Name: Last Name:
Street: City:      Zip Code:
Phone Number: Email:
Best Time To Contact You:  

      

You can also print form and fax it to 814-723-4187
 

We will get back to you within 48-72 hours
to schedule your estimate.