Patio Design Form Click here to download this form in PDF format *A Floor Plan sketch and Cross Section is required to submit this form. Complete this electronic form by entering text, numbers, check boxes and radio buttons as required below. * INDICATES REQUIRED INFORMATION: Incomplete information will result in delays DISTRIBUTOR INFODistributor Company Name*Distributor Contact Name* Distributor Phone*Distributor FaxType of Customer*Type of CustomerDistributorContractorEngineer/ConsultantArchitectEnd UserOtherName* First Name Last Name TitleCompanyAddress*Address 2*City*State / Province*State / ProvinceAlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces PacificAlbertaBritish ColumbiaManitobaNew BrunswickNewfoundland & LabradorNorthwest TerritoriesNova ScotiaNunavutOntarioPrince Edward IslandQuebecSaskatchewanYukonOtherZIP / Postal Code*Country*CountryUnited StatesCanadaMexicoAfghanistanAlbaniaAlgeriaAmerican SamoaAndorraAngolaAntigua and BarbudaArgentinaArmeniaAustraliaAustriaAzerbaijanBahamasBahrainBangladeshBarbadosBelarusBelgiumBelizeBeninBermudaBhutanBoliviaBosnia and HerzegovinaBotswanaBrazilBruneiBulgariaBurkina FasoBurundiCambodiaCameroonCape VerdeCayman IslandsCentral African RepublicChadChileChinaColombiaComorosCongo Democratic Republic of theCongo Republic of theCosta RicaCroatiaCubaCyprusCzech RepublicDenmarkDjiboutiDominicaDominican RepublicEast TimorEcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEthiopiaFijiFinlandFranceFrench PolynesiaGabonGambiaGeorgiaGermanyGhanaGreeceGreenlandGrenadaGuamGuatemalaGuineaGuinea-BissauGuyanaHaitiHondurasHong KongHungaryIcelandIndiaIndonesiaIranIraqIrelandIsraelItalyIvory CoastJamaicaJapanJordanKazakhstanKenyaKiribatiNorth KoreaSouth KoreaKosovoKuwaitKyrgyzstanLaosLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMacedoniaMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMauritaniaMauritiusMicronesiaMoldovaMonacoMongoliaMontenegroMoroccoMozambiqueMyanmarNamibiaNauruNepalNetherlandsNew ZealandNicaraguaNigerNigeriaNorwayNorthern Mariana IslandsOmanPakistanPalauPalestinePanamaPapua New GuineaParaguayPeruPhilippinesPolandPortugalPuerto RicoQatarRomaniaRussiaRwandaSaint Kitts and NevisSaint LuciaSaint Vincent and the GrenadinesSamoaSan MarinoSao Tome and PrincipeSaudi ArabiaSenegalSerbia and MontenegroSeychellesSierra LeoneSingaporeSlovakiaSloveniaSolomon IslandsSomaliaSouth AfricaSpainSri LankaSudanSudan SouthSurinameSwazilandSwedenSwitzerlandSyriaTaiwanTajikistanTanzaniaThailandTogoTongaTrinidad and TobagoTunisiaTurkeyTurkmenistanTuvaluUgandaUkraineUnited Arab EmiratesUnited KingdomUruguayUzbekistanVanuatuVatican CityVenezuelaVietnamVirgin Islands BritishVirgin Islands U.S.YemenZambiaZimbabwePhone*FaxEmail* How did you hear about us?How did you hear about us?Web SearchDistributor RecommendationMagazine AdFlyerE-MailDirect MailSocial MediaPresentationSchwank RepOtherE-Mail Opt-In I agree to receive newsletters and other information such as product updates, promotions, and events by e-mail from Schwank Ltd. You may withdraw your consent at any time. PROJECT INFOProject Name*Project City*State/Prov*Contractor*Contact Person*PhoneNOTE:PATIO HEATING DESIGNS ALLOW FOR A WIND CONDITION OF 10 MPH or 15 Km/Hr. PATIOS WITH WIND BREAKS PROVIDE BEST COMFORT FOR PATRONS.TYPE OF FUEL*NaturalPropaneElectricityENTIRE PATIO TO BE HEATED*YesNoIndicate partial area on floor planIS PATIO ADJACENT TO A WALL*YesNoIf YES, indicate wall(s) on the floor plan & cross sectionCAN HEATERS BE MOUNTED ON A WALL*YesNoIf YES, indicate which walls on your sketchCOMFORT TEMPERATURE NEEDS *Temp in ºF or ºC*ºF (Fahrenheit)ºC (Celsius)Coldest outside temperature*Comfort temperature rise*(Typical: 15º to 20ºF)IS THERE A ROOF / CANOPY OVER PATIO*YesNoInclude a cross section sketch and indicate high and low point dimensionsRoof Construction Material*IS THERE A WIND BREAK ON ANY SIDE OF PATIO*YesNoIndicate location(s) on the floor planHow much wind is blocked (%)*IF THE PATIO OR AREA HAS ANY OTHER SPECIAL CIRCUMSTANCES, NOTE THEM HERE AND INCLUDE ALL DIMENSIONSIMPORTANT: Please attach a floor plan sketch and a cross section with all dimensions Indicate: Table locations Table type: chair height tables; stool height tables Windows and doors Any wall area where heaters can be located Any restrictions to heater locations (overhangs, signage, windows, etc) Mark any partial area of floor plan to heat Roof or canopy: high and low side dimensions, construction material The standard turnaround time is 72 hours, Schwank will endeavour to accommodate earlier requirements.Floor Plan Sketch/Cross Section*Maximum 32MB File SizeAny Other Information (Optional) Drop files here or Alternatively if you are experiencing difficulties attaching any document, please fax to: Canada 1-866-724-9265 / USA 1-866-361-0523Captcha