D.I. Roof Seamers Order Form

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Thank you for your choosing D.I. Roof Seamers.

SHIP TO
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* Company
* Contact
* Address
* City
* State/Province
* Postal Code
* Country
* Phone
* Email
* Fax

JOB INFORMATION
* We need to know when the order is placed if this job is new construction or if it is a preexisting building.

* Is this your first time renting from D.I. Roof Seamers?

*Which DMI facility did your panels come from?

* P.O./Job Number
* Panel Manufacturer
* Panel Name
* Material
* Seam Height
* Square Footage	Square Feet
* Perimeter Clips
* End Laps
* Roof Radius
* Roof Pitch
* Finished Seam Profile

You must first complete the required fields above before selecting a Finished Seam Profile

RENTAL EQUIPMENT
Attention: All seams require 90° hand crimpers. Double Lock DL also requires a 180° hand crimper. Make sure to order if you do not own one. DI strongly recommends the use of DI Crimpers in conjunction with DI Roof Seamers
* Seamer Setup Number
* Seamer Toolkit Number

Special Instructions

SHIPPING INFORMATION
All items will be shipped UPS Ground unless otherwise noted. You are responsible for all freight charges.

* Shipping Method
* Date Needed On Site
Estimated Number of Weeks to Complete

CREDIT CARD INFORMATION
Please enter the following information as it would appear on your Credit Card Statement.
Check this box to transfer Billing Information to Credit Card Information.
* Company Name
* Name On Card
* Address
* City
* State/Province
* Postal Code
* Country
* Phone Number
* Email
* Credit Card
* Credit Card Number
* Expiration Date
* CSV Code

YES - I have read and agree to the D.I. Roof Seamer Rental Terms & Conditions.

YES - I have read, agree to, and WANT to include the D.I. Rental Protection Plan.

NO - I choose to OPT OUT of the D.I. Rental Protection Plan.