Model ID Questionnaire

Please carefully complete this form to help us properly identify the model and age of your door. A '*' indicates that a question must be answered before the form can be submitted.

If you have been communicating via phone or email
with a Larson Representative, please tell us the
name of the representative.

Larson Representative

Tell Us About Your Situation
(If you have emailed with us before, please copy and paste the previous email messages in the box below)

Send Us Pictures

This form allows you to send up to three picture of your door from your computer to Larson. Click on the Browse button(s) below to find and attach your photo(s).

By sending us pictures of your door, you help us determine which door you have and any problems that you might be having with your door.

File 1:
File 2:
File 3:
We can only except pictures with the extension .jpg or .gif *Pictures should be less than 1MB in size.

*-Required field

Fill Out This Form

*First Name:
*Last Name:
Mailing Address
*Address:
*City:
*State:	*Zip Code:
Shipping Address (if different than mailing)
Address2:
City:
State:	Zip Code:
*Phone Number:
*Email Address:
Are you the original owner? Yes No List any part that is not the original equipment or added accessories. Where did you purchase your door? Date of Purchase (approx): What color is your door? View Colors *Registration Number: Need help finding your Registration Number?

*1. Measure from the bottom of the window opening to the bottom of the door. Select the one that most closely matches yours.

*2. How thick is your door?
1-3/8"	1-1/4"	1"
1-5/8"	1-1/2"
*a. What type of door finish do you have? Smooth Metal Finish Rough Vinyl Finish

*3. On the outside, does your door have any moldings beneath the window opening?
					None

*4. Which exterior hardware most closely matches yours?
1	2	3	4	5	6	7	8	9	10	11	12

*a. What color is the hardware?						View Colors
*b. Can you use a key to lock your door?						Yes No
c. If you have a key lock, what name is on the key or on the brass plate on the door edge (if applicable)

*5. Which interior hardware most closely matches yours?

*a. What color is the inside hardware? View Colors

*6.	WINDOW
	*a. Does the screen insert fill:	the entire window opening half of the window opening
	*b. How many glass inserts are in your door?	1 2
	*c. Remove either the screen or a glass insert and measure its size from tip to tip.	Width:	Height:

*7. Does your door have grids?

None

*8. Which glass most closely resembles yours?

*9.
	*a. What is the expander at the bottom of the door made of?	Vinyl Metal
	*b. What color is the expander?
	*c. How many sweep channel(s) are there?	1 2

*10. For doors 1 inch thick, which plastic corner cap is on the inside?
INSIDE VIEW OF DOOR
(TOP RIGHT-HAND CORNER)

Not Applicable

11.	HINGES
	*a. How many individual hinges does your door have?
	*b. Is the hinge a continuous hinge (entire length of z-bar)?	Yes No
12.	WEATHERSTRIPPING
	a. What type of weather-stripping is on the side of the z-bar have? (not on the bottom)*	Felt Rubber
	*b. What color is the weatherstripping?

*13. Measure the width and height of the door only.
(Do not include the z-bar or expander.)

Width: Height: