Secure Carport Order Form

Personal Information

* First & Last Name:

Company Name (optional)

* Email address

Address of installation

Street Address

City

State

Zip Code

Local County (or Parish):

Mailing Address (if different from above)

Street Address

City

State

Zip Code

Contact Phone Numbers:

Mobile

Home

Work

ext

Product Details

Style

Steel Frame Gauge:

Size

Width

Length

Side Height (not peak, which is higher)

Options

More than one option may be selected
Please include specific notes at the end of this page, if applicable
Carport is broken down into Left side, Right Side, Front & Rear (or back) of structure

Left Side:

Right Side:

Front:

Rear:

Colors

Top/Roof

Roof Trim & Corner Trim

Sides (if any)

Gable End (if any)

Color Chart

White
Beige
Sandstone
Tan
Clay
Brown
Pewter Gray
Quaker Gray
Cardinal Red
Barn Red
Vintage Burgundy
True Burgundy
Slate Blue
King Blue
Green
Black

Installation Site

Is electricity (120v) available within 100 feet of installation location?

Yes

No

Is the site level within 3 or 4 inches?

Yes

No

The carport is to be installed on:

Is the carport to be installed over any existing stationary object or structure?

Yes

No

Is there a minimum of 3 ft. clearance all the way around where the carport is to be installed?

Yes

No

Will you be getting a permit?

Yes

No

Do you need engineering prints to acquire a permit?

Yes

No

If yes, what type of prints are required to acquire a permit?

When will the site be ready for installation?

For installation on the ground only four mobile home anchors are recommended for high wind areas ($50 ea.) Note: Mobile home anchors are already included for ground installation in Florida

If you will be on vacation within the next 6 weeks, please enter your travel dates in order to assist the scheduling department.
Thank you.

Departing:

Returning:

Would you like to receive order updates via text message?

Yes

No

Payment Options

Yes I would like to apply for financing

I would like to pay my deposit with a:

Card Type:

Number:

Expiration:

CVV Code:

Last 3 digits on back of VISA, MasterCard and Discover (CVV)

4 digits on front of American Express (CID)

Name:

Address:

Notes

Please review your order for accuracy

Please make sure you have entered your email address in the form above

Thank You