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32
FORMS JANUARY, 2016 TABLE OF CONTENTS Standard Forms Marketing Order Form 1 Standard Order Form 2 Replacement Parts Order Form 3 Job Completion Order Form 4 Color Chip Order Form 5-6 Moulding Sample Order Form 7 Appliance Specification Order Form 8-10 Job Site Delivery Form 11 Product Awareness Statement 12 Dealer Product Awareness Forn 13 Improvement Report Form 14 Options+ Forms Create A Hearth Order Form 15-16 Create A Table Order Form 17-20 Create A Fireplace Order Form 21-23 Create A Door Order Form 24 Options+ Order Form 27-28 Options+ Replacement Order Form 29 Options+ Job Completions Order Form 30

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Page 1: TABLE OF CONTENTS - Bertch InfoNetinfonet.bertch.com/clients/1/File/PDF/Kitchen_Plus_For… ·  · 2016-02-10TABLE OF CONTENTS Standard Forms Marketing Order Form 1 ... 319-268-2592

FORM

SJA

NU

ARY

, 201

6

TABLE OF CONTENTSStandard Forms

Marketing Order Form 1

Standard Order Form 2

Replacement Parts Order Form 3

Job Completion Order Form 4

Color Chip Order Form 5-6

Moulding Sample Order Form 7

Appliance Specification Order Form 8-10

Job Site Delivery Form 11

Product Awareness Statement 12

Dealer Product Awareness Forn 13

Improvement Report Form 14

Options+ Forms

Create A Hearth Order Form 15-16

Create A Table Order Form 17-20

Create A Fireplace Order Form 21-23

Create A Door Order Form 24

Options+ Order Form 27-28

Options+ Replacement Order Form 29

Options+ Job Completions Order Form 30

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QuiCk RESpONSE SAMpLE DOOR LiST pRiCE QTY

STANDARD WOODS LiST pRiCE

STANDARD DelIveRY-UPS 74.00

SeCOND DAY DelIveRY-UPS 97.00

NexT DAY DelIveRY-UPS 138.00

STANDARD WOODS/GLAZES LiST pRiCE

STANDARD DelIveRY-UPS 97.00

SeCOND DAY DelIveRY-UPS 117.00

NexT DAY DelIveRY-UPS 158.00

HERiTAGE FiNiSH QRSD LiST pRiCE

STANDARD DelIveRY-UPS 125.00

SeCOND DAY DelIveRY-UPS 145.00

NexT DAY DelIveRY-UPS 186.00

OpTiONS+ LiST pRiCE

QRSD 117.00

CUSTOM COlOR QRSD 419.00

QRSD WITH GlAZe 138.00

COlORCHIP 17.00

FACe FRAMe AND DOOR 168.00

SeleCT-A-WOOD FF&D 209.00

1/2 MeRCHANDISeR DOOR 138.00

MeRCHANDISeR DOOR (CUSTOM COlOR) 419.00

1/2 MeRCHANDISeR DOOR (CUSTOM COlOR) 419.00

CUSTOM CAll FACTORY

CUSTOM lAMINATe 565.00

*ORDER FORMS ARE LOCATED iN THE iNDEx/FORMS SECTiON

BROCHuRES LiST pRiCE QTY

KITCHeN+ BROCHURe KIT (10 PK) 34.00

DOOR BROCHURe KDl (10 PK) 15.00

ClOSeT BROCHURe ClO (10 PK) 15.00

SPACeS BROCHURe ACC (10 PK) 30.00

CORPORATe BROCHURe BCl (25 PK) 69.00

CATALOG iTEMS LiST pRiCE

SPeC CATAlOG 98.00

INSeRT ONlY 47.00

TABS ONlY 24.00

BINDeR ONlY 50.00

SAMpLES LiST pRiCE

*MOUlDING SAMPle 9.00

MOUlDING SAMPle CHAIN (78) 600.00

STAINeD GlASS SAMPleS (26) 96.00

ACRYTex SAMPle SeT (4) 34.00

*COlOR CHIP 13.00

COlOR CHIP SeT (64 CHIPS) 546.00

HARDWARe BOARD 425.00

MiNi CABiNET SAMpLE LiST pRiCE

MINI BASe WITH ROll TRAY 309.00

FACE FRAME AND DOOR LiST pRiCE

STANDARD 164.00

DiSTRESSiNG MENu DOOR 125.00

MERCHANDiSER DOOR LiST pRiCE

125.00

1/2 MERCHANDiSER DOOR LiST pRiCE

138.00

kiTCHEN+ MERCHANDiSER LiST pRiCE

STYle A OR STYle B 7650.00

1/16

MARkETiNG SuppORT ORDER FORM

MAiLiNG ADDRESS: p.O. Box 2280, Waterloo, iowa 50704SHippiNG ADDRESS: 4747 Crestwood Drive, Waterloo, iowa 50702pHONE: 319-268-2592 FAx: 1-800-973-1200 EMAiL: [email protected]

DeAleR NAMe DeAleR PO NO. JOB NAMe

Only available in St. Thomas Style(If not specified, Standard Delivery will be ordered)

13.8125” W x 15” HAvailable in any wood/style/finish combination.

13.8125” W x 15” HAvailable in any wood/style/finish combination.

12” Wide (Inset will be 15” Wide)

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Moulding pieces will be 4” in length, random wood species and finished in natural.each piece will be $9.00 list Moulding with an * will be priced as stated.

Check the moulding pieces you need.

Base Moulding CB3011Base Moulding CB3511Base Moulding CB3512Base Moulding CB3513Base Moulding CB3212Base Moulding CB3102Batten Moulding BMBeaded edge Moulding BDM1/4Beaded Moulding BDMBeaded Moulding Deluxe BMDBullnose Moulding BNMCap Moulding-GB CAP-GBCarved Moulding List price $52.00 MO8Casing CC2011Casing CC2111Casing CC2513Casing CC2413Casing CC2712Casing CC2713Casing CC2812Casing CC2813Casing CC2912Casing-Contemporary C-CCasing-GB C-GBCasing-Traditional C-TChair Rail Moulding (3 D laminate) CRM-FChair Rail Moulding-Contemporary 1/4” CRM-C1/4Chair Rail Moulding-Contemporary 3/4” CRM-C3/4Chair Rail Moulding-Traditional 1/4” CRM-T1/4Chair Rail Moulding-Traditional 3/4” CRM-T3/4 Countertop edge Trim-Beaded CeT-BeCountertop edge Trim-Bevel CeT-BCountertop edge Trim-Classic CeT-OCCountertop edge Trim-Double Bevel CeT-DBCountertop edge Trim-Double Round CeT-DRCountertop edge Trim-Full Round CeT-FRCountertop edge Trim-Ogee CeT-OG Countertop edge Trim-Round CeT-RCorner Wing Moulding CWMCrown Moulding Angled CR1313Crown Moulding Angled CR1312Crown Moulding Cove large CR1211Crown Moulding Imperial CR1111Crown Moulding CR1613Crown Moulding CR1612Crown Moulding Imperial (3 D laminate) CMIFCrown Moulding (3 D laminate) CMFCrown Moulding CR1413Crown Moulding CR1512Crown Moulding CR1511Deluxe Batten Moulding DBMDeluxe Cove Moulding DCMDentil Moulding DM

Deluxe Batten Moulding DBMDeluxe Cove Moulding DCMDentil Moulding DMembossed Moulding WMFlush Trim Moulding FTMFluted Fascia Moulding FFMFluted Moulding FMFurniture Base Moulding-Classic FBM-OCFurniture Base Moulding-Contemporary FBM-CFurniture Base Moulding-GB FBM-GBFurniture Base Moulding-OD FBM-ODFurniture Base Moulding-Traditional FBM-TInside Corner Moulding CBMO12Inside Corner Moulding CBMO11Mini-Delux Cove Moulding MDCMMini-Cove Moulding CR1213Mini-Crown Moulding CR1011Mirror Moulding MMMoulded light Rail MlRMoulding Cleats and Spacers-1/4 MSC1/4Moulding Cleats and Spacers-1/2 MSC1/2Moulding Cleats and Spacers-3/4 MSC3/4Outside Corner Moulding OSCOutside Corner Moulding Angled OSCAOutside Corner Moulding Foiled OSCFOutside Corner Moulding CBB012Pillar Moulding PMPlate Rail Moulding PRPlywood Trim Moulding PTMQuarter Column Moulding Fluted QCMFQuarter Column Moulding Reeded QCMRQuarter Column Moulding Smooth QCMSQuarter Round Moulding CBSO12Quarter Round Moulding CBSO11Rope Moulding-3/4” RM3/4Rope Moulding-3/8” RM3/8Rope Moulding-1 1/2” RM1 1/2Scalloped Dentil Moulding SDMScribe Moulding SMSmall Crown Bevel Y1MSmall Crown Bevel Y1MSmall Crown Cove P1MSmall Crown Cove P2MSmall Crown Mission S1MSmall Crown Mission S1MSmall Crown Traditional T1MSmall Crown Traditional T1MSpindle Rail Moulding SRW Spindle Rail Corner Post CPSquare 4 Sides S4STru-Bead Moulding TBM-3Tru-Bead Moulding TBM-6Under Countertop Trim Beaded Moulding UCTB

1/16

DeAleR NAMe DeAleR PO NO. JOB NAMe

MOuLDiNG SAMpLE ORDER FORM

MAiLiNG ADDRESS: p.O. Box 2280, Waterloo, iowa 50704SHippiNG ADDRESS: 4747 Crestwood Drive, Waterloo, iowa 50702pHONE: 319-268-2592 FAx: 1-800-973-1200 EMAiL: [email protected]

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MAiLiNG ADDRESS: p.O. Box 2280, Waterloo, iowa 50704SHippiNG ADDRESS: 4747 Crestwood Drive, Waterloo, iowa 50702pHONE: 319-268-2592 FAx: 1-800-973-1200 EMAiL: [email protected]

MERCHANDiSER ORDER FORM STYLE A BIll TO: SOlD TO: SHIP TO:

CABiNET SuGGESTiON

DOOR STYle lexINGTON

WOOD BIRCH

STAIN BRINDle

GlAZe COlOR NONe

SHeeN SeMI GlOSS

DRAWeR HARDWARe SN-K69

DOOR HARDWARe SN-K69

change to: MERCHANDiSER iNCLuDES

18-MeRCHANDISeR DOORS (OPTION TO CHANGe STYle, WOOD, STAIN)1-COlOR CHIP SeT (64 CHIPS), 2-MOUlDING CHAINS (78 PIeCeS)1-HARDWARe BOARDYOuR CHOiCE OF CABiNET DOOR STYLE, WOOD, STAiN, GLAZE, AND SHEEN.ALL AppLiCABLE pREMiuM upCHARGES ARE TO BE ADDED TO BASE pRiCE.

OveRAll SIZe 64” W x 88” H x 25” DlIST PRICe $7650

DOOR SAMpLE SuGGESTiONS

STYLE WOOD STAiN GLAZE SHEEN STYLE WOOD STAiN GLAZE SHEEN

ARCADIA MDF WHITe FOIl

BAYSIDe BIRCH SAlSA SOFT BlACK MATTe

ClAIRMONT MDF WHITe HIGH GlOSS

DISTRICT ReD BIRCH NATURAl SeMI

MAlIBU AlDeR BRINDle SeMI

MANCHeSTeR CHeRRY COGNAC MATTe

NORTHBROOK OAK POlAR SeMI

OxFORD MAHOGANY PlUM MATTe

PANTHeON RUSTIC OAK HARveST SeMI

PORTlAND BIRCH OlIve SeMI

ReMINGTON BIRCH WHITe SOFT BROWN SeMI

RIveRSIDe WAlNUT MOCHA SeMI

ROSlYN CHeRRY SHAle MATTe

ROYAle HICKORY TRUFFle MATTe

SAleM 1/4 SAWN OAK BRINDle SeMI

SAvANNAH CHeRRY NATURAl BlACK SeMI

STANFORD RUSTIC HICKORY DAWN SeMI

WICKeR PARK AlDeR DAWN SeMI

change to:

1/16

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MAiLiNG ADDRESS: p.O. Box 2280, Waterloo, iowa 50704SHippiNG ADDRESS: 4747 Crestwood Drive, Waterloo, iowa 50702pHONE: 319-268-2592 FAx: 1-800-973-1200 EMAiL: [email protected]

MERCHANDiSER ORDER FORM STYLE B BIll TO: SOlD TO: SHIP TO:

CABiNET SuGGESTiON

DOOR STYle STANFORD

WOOD BIRCH

STAIN OYSTeR BAY

GlAZe COlOR BROWN

SHeeN SeMI GlOSS

DRAWeR HARDWARe OB-K07

DOOR HARDWARe OB-K07

change to: MERCHANDiSER iNCLuDES

36-MeRCHANDISeR DOORS (OPTION TO CHANGe STYle, WOOD, STAIN)1-COlOR CHIP SeT (64 CHIPS), 2-MOUlDING CHAINS (78 PIeCeS)1-HARDWARe BOARDYOuR CHOiCE OF CABiNET DOOR STYLE, WOOD, STAiN, GLAZE, AND SHEEN.ALL AppLiCABLE pREMiuM upCHARGES ARE TO BE ADDED TO BASE pRiCE.

OveRAll SIZe 64” W x 88” H x 25” DlIST PRICe $7650

DOOR SAMpLE SuGGESTiONS

STYLE WOOD STAiN GLAZE SHEEN STYLE WOOD STAiN GLAZE SHEEN

ARCADIA MDF WHITe FOIl

ASPeN MDF eGGSHell FOIl

AUSTIN CHeRRY DAWN SeMI

BAYSIDe BIRCH SAlSA SOFT BlACK MATTe

BReNTWOOD AlDeR SPICe MATTe

BRIDGePORT HICKORY TOFFee SeMI

CeNTURION BIRCH PARCHMeNT MATTe

ClAIRMONT MDF WHITe HIGH GlOSS

CRAFTWOOD ASH NATURAl SeMI

DISTRICT ReD BIRCH NATURAl SeMI

DONOvAN MAPle eGGSHell SeMI

eMBASSY OAK TOFFee SeMI

HeRITAGe BIRCH SAGe BROWN MATTe

lAKeSIDe MDF WHITe FOIl

lexINGTON BIRCH WHITe MATTe

MAlIBU AlDeR BRINDle SeMI

MANCHeSTeR CHeRRY COGNAC MATTe

MARCUS BIRCH MORel SeMI

NORTHBROOK OAK POlAR SeMI

OxFORD MAHOGANY PlUM MATTe

PANTHeON RUSTIC OAK HARveST SeMI

PORTlAND BIRCH OlIve SeMI

PReMIeR RUSTIC AlDeR FAWN SeMI

PReSTON eUCAlYPTUS BRINDle SeMI

QUINCY 3 1/4 SAWN OAK DAWN SeMI

ReMINGTON BIRCH WHITe SOFT BROWN SeMI

RIveRSIDe WAlNUT MOCHA SeMI

ROSlYN CHeRRY SHAle MATTe

ROYAle HICKORY TRUFFle MATTe

SAleM 1/4 SAWN OAK BRINDle SeMI

SAvANNAH CHeRRY NATURAl BlACK SeMI

SevIlle CHeRRY BRINDle SeMI

STANFORD RUSTIC HICKORY DAWN SeMI

WICKeR PARK AlDeR DAWN SeMI

WIllIAMSBURG MAPle FAWN SeMI

WOODBRIDGe OAK COCOA MATTe

change to:

1/16

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1/16

x= NOT AVAiLABLE ALL SAMpLES ARE LiST pRiCiNG

DeAleR NAMe DeAleR PO NO. JOB NAMe

STANDARD WOOD COLOR CHip ORDER FORM

MAiLiNG ADDRESS: p.O. Box 2280, Waterloo, iowa 50704SHippiNG ADDRESS: 4747 Crestwood Drive, Waterloo, iowa 50702pHONE: 319-268-2592 FAx: 1-800-973-1200 EMAiL: [email protected]

AlDeR BIRCH CHeRRY HICKORY $13.00 $13.00 $13.00 $13.00 GlAZe GlAZe GlAZe GlAZe

BlACK x x x x x x x x x x x x x x x x x x x x x x

BRINDle

CHeSTNUT

CReMe x x x x x x x x x x x x x x

DAWN

DRIFTWOOD

eGGSHell x x x x x x x x x x x x x x

eBONY x x x x x x x x x x

FAWN

FOReST x x x x x x x x x x x x x x

GRAPHITe

HARveST x x x x x x x

HONeY

lOFT x x x x x x x x x x x x x x

MOCHA

MOON SHADOW x x x x x x x x x x x x x x

NATURAl

OYSTeR BAY x x x x x x x x x x x x x x

POlAR x x x x x x x x x x x x x x

ROSe

SABle x x x x x x x x x x

SAGe x x x x x x x x x x x x x x

SAlSA x x x x x x x x x x x x x x

SHAle

SlATe x x x x x x x

SNOWFlAKe x x x x x x x x x x x x x x

SNOWBANK x x x x x x x x x x x x x x

TOFFee

WHITe x x x x x x x x x x x x x x x x

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SOFT

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1/16

x= NOT AVAiLABLE ALL SAMpLES ARE LiST pRiCiNG

DeAleR NAMe DeAleR PO NO. JOB NAMe

STANDARD WOOD COLOR CHip ORDER FORM

MAiLiNG ADDRESS: p.O. Box 2280, Waterloo, iowa 50704SHippiNG ADDRESS: 4747 Crestwood Drive, Waterloo, iowa 50702pHONE: 319-268-2592 FAx: 1-800-973-1200 EMAiL: [email protected]

MAPle OAK QUARTeRSAWN OAK $13.00 $13.00 $13.00 GlAZe GlAZe GlAZe

BlACK x x x x x x x x x x x x x x x

BRINDle x x x x x x x

CHeSTNUT x x x x x x x

CReMe x x x x x x x

DAWN

DRIFTWOOD

eGGSHell x x x x x x x

eBONY

FAWN

FOReST

GRAPHITe x x x x x x x

HARveST

HONeY

lOFT x x x x x x x

MOCHA x x x x x x x

MOON SHADOW x x x x x x x

NATURAl

OYSTeR BAY x x x x x x x

POlARx x x x x x x x

ROSe x x x x x x x

SABle x x x x x

SAGe x x x x x x x

SAlSA x x x x x x x

SHAle

SlATe

SNOWFlAKe x x x x x x x

SNOWBANK

TOFFee

WHITe x x x x x x x x x

STA

ND

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SOFT

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ASH eUCAlYPTUS MAHOGANY PINe $17.00 $17.00 $17.00 $17.00 GlAZe GlAZe GlAZe GlAZe

BIlTMORe

BlACK x x x x x x x x x x x x x x x x x x x x x

BRINDle

CHeSTNUT x x x x x x x

CReMe x x x x x x x x x x x x x x x x x x x x x

DAWN

DRIFTWOOD x x x x x x x

eGGSHell x x x x x x x x x x x x x x x x x x x x x

eBONY x x x x x x x

FAWN x x x x x x x

FOReST x x x x x x x x x x x x x x

GRAPHITe x x x x x x x x x x x x x x x x x x x x x

HARveST

HONeY x x x x x x x x x x x x x x

lOFT x x x x x x x x x x x x x x x x x x x x x

MOCHA x x x x x x x

MOON SHADOW x x x x x x x x x x x x x x x x x x x x x

MORAl x x x x x x x x x x x x x x x x x x x x x

NATURAl

OlIve x x x x x x x x x x x x x x x x x x x x x

OYSTeR BAY x x x x x x x x x x x x x x x x x x x x x

PlUM

POlAR x x x x x x x x x x x x x x x x x x x x x

ROSe

SABle

SAGe x x x x x x x x x x x x x x x x x x x x x

SAlSA x x x x x x x x x x x x x x x x x x x x x

SCARleT x x x x x x x x x x x x x x

SHAle x x x x x x x

SlATe x x x x x x x x x x x x x x x x x x x x x

SNOWFlAKe x x x x x x x x x x x x x x x x x x x x x

SNOWBANK x x x x x x x x x x x x x x

TOFFee x x x x x x x x x x x x x x

WHITe x x x x x x x x x x x x x x x x x x x x x

1/16x= NOT AVAiLABLE ALL SAMpLES ARE LiST pRiCiNG

DeAleR NAMe DeAleR PO NO. JOB NAMe ST

AN

DA

RD

BlA

CK

SOFT

BlA

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BRO

WN

SOFT

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SpECiALTY WOOD COLOR CHip ORDER FORM

MAiLiNG ADDRESS: p.O. Box 2280, Waterloo, iowa 50704SHippiNG ADDRESS: 4747 Crestwood Drive, Waterloo, iowa 50702pHONE: 319-268-2592 FAx: 1-800-973-1200 EMAiL: [email protected]

STA

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SOFT

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1/16x= NOT AVAiLABLE ALL SAMpLES ARE LiST pRiCiNG

DeAleR NAMe DeAleR PO NO. JOB NAMe

SpECiALiTY WOOD COLOR CHip ORDER FORM

MAiLiNG ADDRESS: p.O. Box 2280, Waterloo, iowa 50704SHippiNG ADDRESS: 4747 Crestwood Drive, Waterloo, iowa 50702pHONE: 319-268-2592 FAx: 1-800-973-1200 EMAiL: [email protected]

ReD BIRCH SeleCT AlDeR WAlNUT $17.00 $17.00 $17.00 GlAZe GlAZe GlAZe

BIlTMORe

BlACK x x x x x x x x x x x x x x

BRINDle

CHeSTNUT

CReMe x x x x x x x x x x x x x x

DAWN

DRIFTWOOD x x x x x x x

eGGSHell x x x x x x x x x x x x x x

eBONY

FAWN x x x x x x x

FOReST x x x x x x x

GRAPHITe x x x x x x x x x x x x x x

HARveST

HONeY x x x x x x x

lOFT x x x x x x x x x x x x x x

MOCHA

MOON SHADOW x x x x x x x x x x x x x x

MORAl x x x x x x x x x x x x x x

NATURAl

OlIve x x x x x x x x x x x x x x

OYSTeR BAY x x x x x x x x x x x x x x

PlUM

POlAR x x x x x x x x x x x x x x

ROSe

SABle

SAGe x x x x x x x x x x x x x x

SAlSA x x x x x x x x x x x x x x

SCARleT x x x x x x x

SHAle

SlATe x x x x x x x

SNOWFlAKe x x x x x x x x x x x x x x

SNOWBANK x x x x x x x x x x x x x x x x x x x x x

TOFFee

WHITe x x x x x x x x x x x x x x

STA

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ITe

SOFT

WH

ITe

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MAiLiNG ADDRESS: p.O. Box 2280, Waterloo, iowa 50704SHippiNG ADDRESS: 4747 Crestwood Drive, Waterloo, iowa 50702pHONE: 319-268-2592 FAx: 1-800-973-1200 EMAiL: [email protected]

APPlIANCe SPeCIFICATION ORDeR FORM

1/16

ORDeR DATe COMPANY NAMe JOB NAMe DeAleR PO NO.

Style “B”RDPB1/4” Groove Flat PanelSpecify Panel Sizes

Style “A”RDPA1/4” Flat PanelSpecify Panel Sizes

Style

Width Height

panel #1

panel #2

panel #3

panel #4

panel #5

panel #6

STYLE A or B 1/4” plywood panel

Width Height

Door #1

Rail & Stile

STYLE D 3/4” Door Frame with Center OpenStyle “D” RDPDDoor Frame OnlyCenter Area OpenSpecify Width and Height of Door FrameSpecify Rail and Stile Width

Specify

Specify

Style “F” insetRDPFNon fuctional Face Frame & DoorSpecify Face Frame Size Width Height

FF&D #1

STYLE F 3/4” inset Face Frame & Door

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MAiLiNG ADDRESS: p.O. Box 2280, Waterloo, iowa 50704SHippiNG ADDRESS: 4747 Crestwood Drive, Waterloo, iowa 50702pHONE: 319-268-2592 FAx: 1-800-973-1200 EMAiL: [email protected]

APPlIANCe SPeCIFICATION ORDeR FORM

1/16

ORDeR DATe COMPANY NAMe JOB NAMe DeAleR PO NO.

Style “E”RDPeDeluxe Door Style Panel With Custom RevealsSpecify Width and Height of 1/4” Panel, 3/4” Deluxe Door Style Panel (s),and Option 1, 2, 3, or 4

To be Field AppliedShipped Separate

Mortise & Tenon Door Style parameters Doors up to 26” wide default to a single panel door. Doors over 26” wide and larger default to a horizontal double panel door.

Doors up to 48” high default to a single panel door. Doors over 48” high and larger default to a vertical double panel door.

1 2 3 4

Mitered Door Style parameters Doors up to 26” wide default to a single panel door. Doors over 26” wide and larger default to horizontal double doors.

Doors up to 48” high default to a single panel door. Doors over 48”high and larger default to vertical double doors.

1 2 3 4

Door or Width Height Drawer Front Width Height Option

panel #1 __________ __________ Door #1 __________ __________ __________ __________

panel #2 __________ __________ Door #2 __________ __________ __________ __________

panel #3 __________ __________ Door #3 __________ __________ __________ __________

panel #4 __________ __________ Door #4 __________ __________ __________ __________

panel #5 __________ __________ Door #5 __________ __________ __________ __________

panel #6 __________ __________ Door #6 __________ __________ __________ __________

STYLE E 1/4” plywood panel Deluxe Door Style panel

Up to 26” wide Over 26” wide Up to 26” wide Over 26” wide Up to 48” high Up to 48” high Over 48” high Over 48” high

Up to 26” wide Over 26” wide Up to 26” wide Over 26” wide Up to 48” high Up to 48” high Over 48” high Over 48” high

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MAiLiNG ADDRESS: p.O. Box 2280, Waterloo, iowa 50704SHippiNG ADDRESS: 4747 Crestwood Drive, Waterloo, iowa 50702pHONE: 319-268-2592 FAx: 1-800-973-1200 EMAiL: [email protected]

APPlIANCe SPeCIFICATION ORDeR FORM

1/16

ORDeR DATe COMPANY NAMe JOB NAMe DeAleR PO NO.

Style

Width Height

panel #1

panel #2

STYLE A or B 1/4” plywood panel Style “A”APA1/4” Flat PanelSpecify Panel Sizes

Style “B”APB1/4” Grooved Flat PanelSpecify Panel Sizes

Style “D”APDDoor Frame OnlyCenter Area OpenSpecify Width and Height of Door Frame Specify Rail & Stile Width

Style “E”APeDeluxe Door Style Panel With Custom RevealsSpecify Width and Height of 1/4” Panel and 3/4” Deluxe Door Style Panel (s)

To be Field AppliedShipped Separate

Width Height

Door #1

Rail & Stile

Style D 3/4” Door Frame with Center Open

Width Height

panel #1

panel #2

Door #1

Door #2

Style E 1/4” plywood panel & Deluxe Door Style panel

Style “F” insetAPF Non functional Face Frame and Door. Specify Width and Height

Width Height

FF&D #1

Style F 3/4” inset Face Frame & Door

Specify

Specify

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APPlIANCe SPeCIFICATION SHeeT

1/16

CUT-OUTWIDTH

CUT-OUTHeIGHT

DID

DRAWeR

1 1/2” or 3”

10 1/2” 11”11 1/2”12 1/4”

14 3/4” 15 1/2” 18”18 3/4”

CUT-OUTHeIGHT

CUT-OUTWIDTH

5 1/2”MINIMUM

DIP

Indicate cut-out dimensions for height and width of appliance to be used. Maximum cut-out width is 2” less than cabinet width.

ORDeR DATe COMPANY NAMe JOB NAMe DeAleR PO NO.

CUT-OUTWIDTH

CUT-OUTHeIGHT

30”

UCOFF

BUTT DOORS

CUT-OUTWIDTH

CUT-OUTHeIGHT

1 1/2” or 3”

WMA

CUT-OUTWIDTH

CUT-OUTHeIGHT

10 1/2” 11”11 1/2”12 1/4”

14 3/4” 15 1/2” 18”18 3/4”

MBA

MAiLiNG ADDRESS: p.O. Box 2280, Waterloo, iowa 50704SHippiNG ADDRESS: 4747 Crestwood Drive, Waterloo, iowa 50702pHONE: 319-268-2592 FAx: 1-800-973-1200 EMAiL: [email protected]

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APPlIANCe SPeCIFICATION SHeeT

1/16

Indicate cut-out dimensions for height and width of appliance to be used. Maximum cut-out width is 2” less than cabinet width.

ORDeR DATe COMPANY NAMe JOB NAMe DeAleR PO NO.

MAiLiNG ADDRESS: p.O. Box 2280, Waterloo, iowa 50704SHippiNG ADDRESS: 4747 Crestwood Drive, Waterloo, iowa 50702pHONE: 319-268-2592 FAx: 1-800-973-1200 EMAiL: [email protected]

OSABUTT DOORS

CUT-OUTHeIGHTCUT-OUT

WIDTH

33”

BUTT DOORS

3

3

OM

CUT-OUTHeIGHTCUT-OUT

WIDTH

BUTT DOORS

DRAWeR

CUT-OUTHeIGHT

CUT-OUTWIDTH

3

3

3

10 1/2” 11”11 1/2”12 1/4”

14 3/4” 15 1/2” 18”18 3/4”

OD A/B

CUT-OUTHeIGHT

CUT-OUTWIDTH

BUTT DOORS

DRAWeR

3

3

10 1/2” 11”11 1/2”12 1/4”

14 3/4” 15 1/2” 18”18 3/4”

OSB

CUT-OUTHeIGHT

CUT-OUTWIDTH

BUTT DOORS

DRAWeR

DRAWeR

DRAWeR

3

3

33”

OD C

CUT-OUTHeIGHT

CUT-OUTWIDTH

BUTT DOORS

DRAWeR

3

3

10 1/2” 11”11 1/2”

12 1/4” 14 3/4” 15 1/2”

DRAWeR 4 3/4

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TMA

CUT-OUTHeIGHT

CUT-OUTWIDTH

BUTT DOORS

DRAWeR

3”

3”

APPlIANCe SPeCIFICATION SHeeT

1/16

Indicate cut-out dimensions for height and width of appliance to be used. Maximum cut-out width is 2” less than cabinet width.

ORDeR DATe COMPANY NAMe JOB NAMe DeAleR PO NO.

DRAWeR

DRAWeR

PUll OUT SHelF

39 1/2”

TMB

CUT-OUTHeIGHT

CUT-OUTWIDTH

BUTT DOORS

BUTT DOORS

3”

3”

DRAWeR

PUll OUT SHelF

39 1/2”

MAiLiNG ADDRESS: p.O. Box 2280, Waterloo, iowa 50704SHippiNG ADDRESS: 4747 Crestwood Drive, Waterloo, iowa 50702pHONE: 319-268-2592 FAx: 1-800-973-1200 EMAiL: [email protected]

OPTIONS+

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Create A Wood Hood Order Form

Step 1. Specify Wood Hood Size.

BeadedAdd $1403

TraditionalAdd $1403

CAWH width height $

Step 2. Specify Wood Hood Style.

$ ClassicPlain ConcaveAdd $3698

Plain TraditionalNordic Mission

Traditional BevelCove Square

TCA38Add $1275

MeCA32Add $1148

vCA57Add $1148

MCA68Add $893

Hinged DoorAdd $765

$ left

Right

Pull Out Spice Rack Add $990

3 DrawersAdd $908

3 Condiment Drawers

Add $908

ShelvesAdd $829

TraditionalAdd $765

Step 3. Specify Platform Style.

$

victorian WainscotAdd $383

BeadedAdd $383

OrnamentAdd $510

Step 4. Specify Moulding Style.

Step 6. Specify Corbel Style. $

Step 5. Specify Tower Style. $

$

(Add Additional price for Hood Style if Applicable)

(See C9 for base price)

(Add Additional price for platform Style if Applicable)

(Add Additional price for Corbel Style)

(Add pricing for Tower Style)

put a L, (left) R, (right) or B (both) in box to specify which side the tower is for.

All towers are shown for the right side of hood.

(See page C9 for sizing info.)

Create A Wood Hood Please complete form and send copy with your order.

(Add Column for Subtotal)

(Add additional premiums to subtotal, such as wood or, fin-ish premiums etc.)

ICA30Add $1403

1/16

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Create A Hearth

Step 1. Specify the Hearth Size.

Plain

CAH width height $

Step 2. Specify the Hearth Style.

$ BeadedAdd $734

TraditionalAdd $1015

TCA38Add $1275

MeCA32Add $1148

vCA57Add $1148

MCA68Add $893

Hinged Door

$ left

Right

Pull Out Spice Rack Add $479

3 DrawersAdd $398

3 Condiment Drawers

Add $398

ShelvesAdd $319

Traditional

Step 6. Specify the Corbel Style. $

Step 5. Specify the Tower Style. $

$

(Add Additional pricing for Hearth Style if applicable)

(See C11 for price)

(Add Additional pricing for Corbel Style)

(Add Additional pricing for Tower Style if Applicable)

put a L, (left) R, (right) or B (both)in box to specify which side the tower is for.

All towers are shown for the right side of hood.

(See C11 for sizing info.)

Plain Mission

victorian

Traditional

Step 3. Specify the Platform Style.

$

WainscotAdd $319

Nordic

BeadedAdd $319

OrnamentAdd $510

(Add Additional pricing for platform Style if Applicable)

Traditional BevelCove Square

Step 4. Specify the Moulding Style.

Create A Hearth Please complete form and send copy with your order.

(Add Column for Subtotal)

(Add additional premiums to subtotal, such as wood or, fin-ish premiums etc.)

ICA30Add $1403

1/16

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Create A Table Style A Order Form

Step 2. Specify Table Configuration. $ (Add Additional price for Configuration if Noted)

Step 1. Specify Table Size. CATA width depth $ (See page C13 for pricing)(See page C13 for sizing)

Create A Table Style A

STYle A-A Apron Style

STYle A-B Two Drawers

STYle A-C Two Drawers/Four Drawers

STYle A-D Four Drawers

STYle A-e Two Doors/Four Doors

STYle A-F Two Tip Out Bins/Four Tip Out Bins

Step 3. Specify Toe valance Style.

TPB TPS TPRAdd $745

TPFAdd $745

TPTAdd $933

TPD

Step 4. Specify Turning Style. $ (Add Additional price for Turning Style if Noted))

$

Step 5. Specify Sides and Back Style. $ (Add Additional price for Side Style if Noted)

(Add Column for Subtotal)

APRON TRU BeADAdd $446

DeCAdd $1556

NOT AVAiLABLE WiTH STYLE A-A OR A-B

PeCAdd $826

NOT AVAiLABLE WiTH STYLE A-A OR A-B

GROOveDAdd $287

STRAIGHT ARCHeD TRADITIONAlBAROQUe

MISSION eARlY AMeRICANNORDICvICTORIAN

TPA

DRAWeR DRAWeR

DRAWeRDRAWeR

DRAWeRDRAWeR

DRAWeRDRAWeR

DOOR DOOR

BTOB BTOB

(Add additional premiums to subtotal, such as wood or, fin-ish premiums etc.)

Please complete form and send copy with your order.

36”, 42”, 48”, 60” 72”, 84”

36”, 42”, 48”, 60” 72”, 84”

36”, 42”, 48”, 60” 72”, 84” 36”, 42”, 48”, 60” 72”, 84”

36”, 42”, 48”, 60” 72”, 84”

36”, 42”, 48”, 60” 72”, 84”

DRAWeR DRAWeR

DRAWeRDRAWeR DRAWeRDRAWeR BTOB BTOB BTOBBTOB

DOOR DOORDOOR DOOR

DRAWeR

DRAWeR

DRAWeR

DRAWeR

Add $581 Add $581

Add $581 Add $1163

Add $928 Add $1856

Add $510 Add $1020

Add $857 Add $1714

1/16

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Create A Table Style B Order Form

(pricing Example Style B)

Step 2. Specify Table Configuration. $ (Add Additional price for Configuration if Noted)

Step 1. Specify Table Size. CATB width depth $ (See C13 for pricing )(See page C13 for sizing info.)

Create A Table Style B

STYle B-A

STYle B-B

STYle B-C

Step 5. Specify Shelf Style. $ (Add Additional pricing for Shelf Style if Noted)

$

Step 6. Specify Sides and Back Style. $ (Add Additional pricing for Side Style if Noted)

APRON TRU BeADAdd $446

DeCAdd $1556

NOT AVAiLABLE WiTH

PeCAdd $826

NOT AVAiLABLE WiTH

GROOveDAdd $287

STYle B-D

SOlID SlATTeDAdd $474

TPB TPS TPRAdd $745

TPFAdd $745

TPTAdd $933

TPD Step 3. Specify Turning Style. $

(Add Additional pricing for Turning Style if Noted)

TPA

Step 4. Specify Wood leg Style.Wl02 Wl03 Wl04 Wl05 Wl06Wl01

DRAWeR

DRAWeR

DRAWeR

DRAWeRDOOR

DRAWeRDOOR BTOB BTOB

DRAWeR

DRAWeRDRAWeRDRAWeR

Please complete form and send copy with your order.

(Add Column for Subtotal)

(Add additional premiums to subtotal, such as wood or, fin-ish premiums etc.)

Two DoorsFour Drawers

Two DoorsTwo Drawers

Four Drawers Six Drawers

DOORDOORDRAWeR

DRAWeR

DRAWeR

DRAWeR

DRAWeRDRAWeRDRAWeR

DRAWeR

DRAWeR

DRAWeR

Two Drawers2 Tip Out Bins

Four Drawers2 Tip Out Bins

48”, 54”, 60” 72”, 84”

Add $347

Add $347

72”, 84”

72”, 84”

Add $581

Add $581

48”, 54”, 60”

DRAWeR

DRAWeRDRAWeR

DRAWeR

DRAWeR

DRAWeR

DRAWeR

DRAWeR

DRAWeR

BTOBBTOB

48”, 54”, 60”

48”, 54”, 60”

Six Drawers

Add $581

Add $581

1/16

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Create A Table Style C Order Form

1/16

Step 2. Specify Table Configuration. $

Step 1. Specify Table Size. CATC width depth $ (See page C13 for pricing)(See page C13 for sizing info.)

Create A Table Style C

STYle C-A Straight Wainscot STYle C-B Arched Wainscot

Step 3. Specify Toe valance Style.

STRAIGHT ARCHeD TRADITIONAlBAROQUe

MISSION eARlY AMeRICANNORDICvICTORIAN

TPB TPS TPRAdd $745

TPFAdd $745

TPTAdd $933

TPD

Step 4. Specify Turning Style. $ (Add Additional pricing for Turning Style if Noted)

TPA

$

Step 5. Specify Side Style (Right and left). $ (Add Additional pricing for Mantel Style if Noted)

APRON TRU BeADAdd $319

DeCAdd $778

NOT AVAiLABLE WiTH

PeCAdd $413

NOT AVAiLABLE WiTH

GROOveDAdd $191

(Add Additional price for Configuration if Noted)

Please complete form and send copy with your order.

(Add Column for Subtotal)

(Add additional premiums to subtotal, such as wood or, fin-ish premiums etc.)

36”, 42”, 48”, 60” 72”, 84”36”, 42”, 48”, 60” 72”, 84”

Add $638 Add $1275

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Create A Table Style D Order Form

Step 2. Specify Table Configuration. $ (Add Additional price for Table Configuration if Noted)

Step 1. Specify Table Size. CATD width depth $ (See page C13 for pricing)(See page C13 for sizing info.)

Create A Table Style D

STYle D-A

TPB TPS TPRAdd $745

TPFAdd $745

TPTAdd $933

TPD

Step 3. Specify Turning Style. $ (Add Additional pricing for Turning Style if Noted)

TPA

Step 5. Specify Shelf Style. $ (Add Additional pricing for Shelf Style if Noted)

$

Step 6. Specify Side Style (Right and left). $ (Add Additional pricing for Side Style if Noted)

APRON TRU BeADAdd $319

DeCAdd $778

NOT AVAiLABLE WiTH

PeCAdd $413

NOT AVAiLABLE WiTH

GROOveDAdd $191

SOlID SlATTeDAdd $474

Step 4. Specify Wood leg Style.

Wl02 Wl03 Wl04 Wl05 Wl06Wl01

STYle D-B

Please complete form and send copy with your order.

(Add Column for Subtotal)

(Add additional premiums to subtotal, such as wood or, finish premiums etc.)

Four Condiment DrawersTwo Wicker Baskets

eight Condiment DrawersTwo Wicker Baskets

Sixteen Condiment DrawersTwo Wicker Baskets

STYle D-C

48”, 54” 72”, 84”

Add $780

54”, 60”

Add $1560

1/16

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Create A Fireplace Order Form

MANTel-ATAdd $1534

MANTel-ASAdd $1534

MANTel-BTAdd $1989

MANTel-BSAdd $1725

MANTel-CTAdd $1566

MANTel-CSAdd $1457

Step 1. Specify Fireplace Mantel Style. $ (Add pricing for Mantel Style)

11 9/16”

8 9/16”

73 11/16” 15 9/16”

12”

12 9/16”

10 5/8”

8 3/4”

71 1/4” 14 5/8”

12”

12 3/4 ”

11 5/8”

8 9/16”

73 3/4” 15 5/8”

12”

12 9/16”

11 5/8”

7 3/4”

73 3/4” 15 5/8”

8”

11 3/4”

10 5/8”

8 3/4”

71 3/4” 14 5/8”

12”

12 3/4”

10 5/8”

8 3/4”

71 3/4”14 5/8”

8”

12 3/4”

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Create A Fireplace Order Form

48”

9” 6 1/2”

FPC-AAdd $1232

FPC-BAdd $1658

FPC-CAdd $1594

FPC-DAdd $2231

2” 9” 6 1/2”

$ Step 2. Specify Fireplace Column Style.(Add pricing for Column Style)

Column Option A

2”

Column Option B

2” 6 1/2”

Front view Option B

48”

Front view Option A Option B

6”

Front view Option A Option B

2” 9”

10 1/2”

6 1/2”

48”

6”

2” 9”

10 1/2”

6 1/2”

48”

Front view Option A Option B6”

FPC-eAdd $1989

7” 9” 11 1/2”

48”

Front view Option A Option B

10 1/2” 6”

Step 3. Specify Column Option

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Create A Fireplace Order Form

Step 5. Specify Fireplace Turning Style if choosing FPC-e $ (Add pricing for Turning Style)

TPBAdd $0

TPSAdd $0

TPRAdd $372

TPFAdd $372

TPTAdd $467

TPDAdd $0

TPAAdd $0

Total $

Step 4. Specify Corbel Style if choosing FPC-B or FPC-C $ (Add pricing for Corbel Style)

ICA30Add $510

TCA38Add $383

MeCA32Add $255

vCA57Add $255

MCA68Add $0

Specify Corbel Style if choosing FPC-D

ICA82Add $765

TCA84Add $510

MeCA83Add $765

vCA81Add $765

MCA80Add $0

1/16

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DeAleR NAMe DeAleR CONTACT

BUSINeSS HOURS BUSINeSS PHONe BUSINeSS Cell PHONe

JOB NAMe JOB SITe CONTACT

JOB SITe PHONe JOB SITe Cell PHONe JOB SITe ADDReSS (STReeT, CITY, & STATe)

Please include your job site delivery form with your order. The form must be complete including written directions and signature. If the form is not complete the delivery will go to the Dealer’s location. The Dealer will be notified by an acknowledgement as to which week to expect delivery. Bertch drivers will call the Dealer direct a minimum of 24 hours prior to delivery. Job site delivery charge is based on a 30-mile radius from the Dealer. Beyond 30-mile radius, additional charges will be based on extra miles and include present fuel costs.Type or print specific directions below from the nearest major highway. if you need more room continue on the back of this form. WRiTTEN DiRECTiONS MuST ACCOMpANY ORDER.

Dealer Responsibility Check List - items Must Be Checked-OffPhysically check the job site for accessibility of a 68’ Semi Tractor-Trailer. Our trailers require a height clearance of 13’6”. (This includes power lines, low tree branches, low overpasses, bridge or road weight or width limits). There must be ample space to turn around (NO CuL-DE-SACS, hairpin curves or extreme grades). We will not travel on dirt/gravel roads. Check for any other obstructions that will cause an accessibility problem.Two able-bodied people must be at the job site location to help unload the products from the trailer to the residence. Our drivers will be responsible for tailgating the products and assisting the Dealer Staff when necessary to unload large/heavy items.Upon Bertch/G.O.e. drivers 24 hour notification of delivery the dealer must make the necessary arrangements with the customer for a timely delivery. if contact cannot be made we reserve the right to return the products to Bertch Cabinet Mfg. and reschedule them on our next available truck. Dealer will accept additional charges if driver is not met as agreed and needs to reschedule.Any materials damaged during delivery on our trucks, requiring factory repair or replacement must be noted immediately and returned on the same truck. Upon driver inspection of the actual job site the driver may refuse to make the delivery at the job site if he feels it is unsafe or unmanageable with the consent of Bertch Cabinet Mfg., Inc./G.O.e. ent. Fines or charges incurred as a result of a job site delivery will be paid by the Dealer (this includes any towing charges, repairs to low power lines, overweight/over-width restriction fines, damages to property or equipment).

if the above criteria is not met when driver arrives, future job site deliveries to Dealer location will be denied.The undersigned understands his/her responsibility and acknowledges the conditions of this application.

DEALER SiGNATuRE ___________________________________________________ DATE ________________ ____

DEALER NAME (pLEASE pRiNT) ________________________________________________________________ ___________

JOB SiTE DELiVERY FORMplease fax completed form to 800-973-1200.

(Circle One) BATH MARKeTPlACe KITCHeN+ TIMBeRGATe iF JOB SiTE DELiVERY FORM iS NOT COMpLETE, THE DELiVERY WiLL GO TO THE DEALER’S LOCATiON.

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The undersigned understands their responsibility and acknowledge the conditions of this declaration and will not hold Bertch responsible for these natural characteristics.

DEALER SiGNATuRE DATE

DEALER NAME (pLEASE pRiNT

CuSTOMER SiGNATuRE DATE

CuSTOMER NAME (pLEASE pRiNT)

DeAleR NAMe DeAleR PO NO. JOB NAMe

As the purchaser of this product, we want you to be fully informed of the characteristics below. We cannot produce the product without these characteristics, therefore it is important that you find them acceptable.

WOOD VARiATiONS

Some trees vary in color shades of white, pink, green, gray, and black. Some have even grain patterns; others can be quite wild. Some have worm tracks and pitch marks and mineral streaks. Some absorb stain readily; others practically refuse to absorb. Some tend to get darker and some considerably darker (especially Cherry) as time passes.

Most combinations of woods and finishes are seen com-monly, thus the final look is no surprise. There are a few combinations which are rarely enough seen that most people may be surprised by the aforementioned combination of independent characteristics and their effect on the visual appearance of the final wood product. Please see the Product Awareness Matrix for information on wood/color com-binations that should be explained to your customer.

RuSTiC WOODS

All natural characteristics of Rustic Woods may be repre-sented in this product which include the following character marks: Solid wood will have character marks such as large knots and wane. Other char-acteristics include: small pin knots, bird pecks, worm tracks, mineral stain, irregular figures in the grain, cracks that do not hurt the strength of the part, sap wood and cherry pitch marks. Cabinet face frames, plywood returns, Tri views, Oval Mirror and Medicine Cabinet, Wood Tops, Frieze valances, Wood Hoods (plywood compo-nents, scribe and outside corner moulding) will not be rustic.

Available Mouldings:CM, MCM, PR, FBM-T, FBM-C

Not available with solid color finishes due to the nature of open knots not accepting solid color finishes.

GLAZiNG

Glaze is a transparent finish material applied over the sealer which tones the overall appearance and highlights profiles and recessed areas creating an “antique” or “aged” look. This additional finishing step emphasizes joints, character marks and grain areas. A protective topcoat is applied over the glaze, which adds depth to the finish. Natural variations will be apparent on individual parts and within Jobs.

SHRiNkiNG AND SWELLiNG Shrinking and swelling occur as wood changes moisture content in response to daily (as well as seasonal) chang-es in the relative humidity of the environment to which the wood is exposed. When the air is humid, wood absorbs mois-ture and swells; when the air is dry, wood loses moisture and shrinks. This is a fundamental law of nature and is NOT a defect in materials or work-manship by Bertch Cabinet Mfg. Doors that swell and rub; center panels of doors that shrink and expose pre-stained areas; and miters that either open to the outside or widen on the inside at the joint are all examples of wood movement due to the consumer’s envi-ronment. These effects should be minimized by maintaining a moisture content in the home (or, where the cabinets are stored) between 30 and 40% relative humidity (temperature between 50 and 80 degrees F).

SOLiD COLOR FiNiSHES

TELEGRApHiNGThe solid finishes are applied to a solid wood face frame. Oak is an open or coarse grain wood. The grain will “tele-graph” or show visibly through-out the finish. Birch is a close or fine grain wood. Some “telegraphing” will occur, though the effect will be subtle.

JOiNT FRACTuREBecause wood is a product which is in a constant state of expansion and contraction, hairline fractures will very soon be noticeable at the joints on the cabinet face frame and doors. These will not weaken the finish, but they will be visible.

MiTER DOORS When mitered doors are painted with a solid color finish, the joints of the miter door will appear as the wood expands and contracts due to normal environmental changes.

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pRODuCT AWARENESS STATEMENT

MAiLiNG ADDRESS: p.O. Box 2280, Waterloo, iowa 50704SHippiNG ADDRESS: 4747 Crestwood Drive, Waterloo, iowa 50702pHONE: 319-268-2592 FAx: 1-800-973-1200 EMAiL: [email protected]

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MAiLiNG ADDRESS: p.O. Box 2280, Waterloo, iowa 50704SHippiNG ADDRESS: 4747 Crestwood Drive, Waterloo, iowa 50702pHONE: 319-268-2592 FAx: 1-800-973-1200 EMAiL: [email protected]

DeAleR PRODUCT AWAReNeSS AGReeMeNT

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The undersigned must be either an Officer or Principal of the dealership. The undersigned understands their responsibility and acknowledges the conditions of this declaration, and will not hold Bertch Cabinet Mfg., Inc. responsible for these characteristics.

DEALERSHip DATE

LOCATiON _

OFFiCER OR pRiNCipAL’S SiGNATuRE

pLEASE pRiNT ABOVE NAME

THe ABOve SIGNeD DeAleR PRODUCT AWAReNeSS STATeMeNT AllOWS BeRTCH TO PROCeSS ORDeRS WITHOUT AN INDIvIDUAl CUSTOMeR SIGNeD PRODUCT AWARe- NeSS DeClARATION FORM WITH eACH PeRTINeNT ORDeR.

As an authorized dealer of Bertch products the undersigned (representing the dealership) acknowledges the responsibility of explaining, and educat-ing each of our (Bertch) customers in the specific characteristics inherent to the various wood species, wood traits (to include rustic and knotty as well as distressing) and unique finishes available through Bertch Cabinet Mfg., Inc. The undersigned understands that as new finishes, traits and wood species become available it is their responsibility to present these new characteristics for these items, as well as any current items available from Bertch.

The undersigned agrees not to hold Bertch Cabinet Mfg., Inc. responsible ifa customer has not been made aware of the unique characteristics of the properties of their specific project, if those characteristics are within the standards established by Bertch Cabinet Mfg., Inc..

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Date: Dealer name: Job Name: Salesman: Complaint Compliment Suggestion Reason: Acknowledgement Cabinets Quality Doors Shipping UPS,RPS or GOe Drawer Fronts Order Processing Wood Phone Call Not Returned Stain Product Pricing Hardware Service OtherComments: iNTERNAL uSE ONLY ORIGINAl BCM# PW SeQ# lINe#

JOB NAMe NeW BCM# DeAleR RePReSeNTATIve

Date: Dealer name: Job Name: Salesman: Complaint Compliment Suggestion Reason: Acknowledgement Cabinets Quality Doors Shipping UPS,RPS or GOe Drawer Fronts Order Processing Wood Phone Call Not Returned Stain Product Pricing Hardware Service OtherComments: iNTERNAL uSE ONLY ORIGINAl BCM# PW SeQ# lINe#

JOB NAMe NeW BCM# DeAleR RePReSeNTATIve 1/16

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iMpROVEMENT REpORT

MAiLiNG ADDRESS: p.O. Box 2280, Waterloo, iowa 50704SHippiNG ADDRESS: 4747 Crestwood Drive, Waterloo, iowa 50702pHONE: 319-268-2592 FAx: 1-800-973-1200 EMAiL: [email protected]

iMpROVEMENT REpORT

MAiLiNG ADDRESS: p.O. Box 2280, Waterloo, iowa 50704SHippiNG ADDRESS: 4747 Crestwood Drive, Waterloo, iowa 50702pHONE: 319-268-2592 FAx: 1-800-973-1200 EMAiL: [email protected]

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QUOTe FORMDATe: PHONe: FAx: FROM:

DeAleR NAMe: ACCT. CODe: JOB NAMe: DOOR STYle:

ADDITIONAl INFORMATION:

SKeTCH:

MAiLiNG ADDRESS: p.O. Box 2280, Waterloo, iowa 50704SHippiNG ADDRESS: 4747 Crestwood Drive, Waterloo, iowa 50702pHONE: 319-268-2592 FAx: 1-800-973-1200 EMAiL: [email protected]

OPTIONS+

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ITeM ITeM FINISHeD STAIN NO. QTY . HINGe SIDe SIDe ITeMIZeD INSTRUCTIONS UNIT PRICe exTeNSION

ITeM FINISHeD STAIN NO. ITeM QTY HINGe SIDe SIDe ITeMIZeD INSTRUCTIONS UNIT PRICe exTeNSION

CABINeT lAYOUT MUST Be ATTACHeD

CUBIC FeeT WeIGHTAUTHORIZeD SIGNATURe

WOOD SHeeN DOOR STYle WAll DOOR STYle BASe BOx OPTION

DRAWeR GlIDeS SPeCIAl JOB INSTRUCTIONS

BIll TO: SOlD TO: SHIP TO:

ORDeR TYPe eST. SHIP DATe DeAleR PURCHASe ORDeR NO SOlD BY PAGe

BCM ORDeR NO. ACCT. NO. ORDeR DATe JOB NAMe SHIP vIA

D e l i v e r y o f l e s s t h a n 6 c a b i n e t s w i l l h a v e a $ 1 4 7 . 0 0 d r o p c h a r g e a d d e d t o t h e o r d e r .

HeRITAGe FINISH STAIN GlAZe COlOR DRAWeR HARDWARe DOOR HARDWARe

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ORDERMAiLiNG ADDRESS: p.O. Box 2280, Waterloo, iowa 50704SHippiNG ADDRESS: 4747 Crestwood Drive, Waterloo, iowa 50702pHONE: 319-268-2592 FAx: 1-800-973-1200 EMAiL: [email protected]

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Reference Original BCM

Reason For Replacement

RePlACeMeNT ORDeRS exCeeDING $765 lIST PRICe ReQUIRe FIelD INSPeCTION AND SiGNED AuTHORiZATiON BY THE BERTCH SALES REpRESENTATiVE, ORIGINAl CABINeTS OR PARTS MUST Be ReTURNeD TO BeRTCH FOR CReDIT. THeSe ORDeRS WIll Be COMPleTeD WITHIN 5 WORKING DAYS. THOUGH SHIPMeNT MUST Be ARRANGeD ON THe NexT AvAIlABle GOe TRUCK INTO YOUR AReA. PleASe CHeCK WITH YOUR DeAleR SeRvICeS RePReSeNTATIve FOR SHIPPING DATe.

CABINeT lAYOUT MUST Be ATTACHeD

CUBIC FeeT WeIGHTAUTHORIZeD SIGNATURe

1/16

REpLACEMENT pARTS ORDER FORM

MAiLiNG ADDRESS: p.O. Box 2280, Waterloo, iowa 50704SHippiNG ADDRESS: 4747 Crestwood Drive, Waterloo, iowa 50702pHONE: 319-268-2592 FAx: 1-800-973-1200 EMAiL: [email protected]

ITeM FINISHeD STAIN NO. ITeM QTY HINGe SIDe SIDe ITeMIZeD INSTRUCTIONS UNIT PRICe exTeNSION

ITeM ITeM FINISHeD STAIN NO. QTY . HINGe SIDe SIDe ITeMIZeD INSTRUCTIONS UNIT PRICe exTeNSION

WOOD SHeeN DOOR STYle WAll DOOR STYle BASe BOx OPTION

DRAWeR GlIDeS SPeCIAl JOB INSTRUCTIONS

BIll TO: SOlD TO: SHIP TO:

ORDeR TYPe eST. SHIP DATe DeAleR PURCHASe ORDeR NO SOlD BY PAGe

BCM ORDeR NO. ACCT. NO. ORDeR DATe JOB NAMe SHIP vIA

D e l i v e r y o f l e s s t h a n 6 c a b i n e t s w i l l h a v e a $ 1 4 7 . 0 0 d r o p c h a r g e a d d e d t o t h e o r d e r .

HeRITAGe FINISH STAIN GlAZe COlOR DRAWeR HARDWARe DOOR HARDWARe

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Reference Original Order #

Level 1 -- Completed in 8 Calender Days and Ships UPS or on Next Available GOe Truck if too large to ship UPS, Unless Commercial Carrier Arrangements are Made at Dealers’ expense. Items available: All Standard Catalog Items Under $1275 list. 20% pREMiuM (plus shipping and crating charges if applicable)

Level 2 -- Completed in 16 Calender Days and Ships UPS or on Next Available GOe Truck if too large to ship UPS, Unless Commercial Carrier Arrangements are Made at Dealers’ expense. Items available: All Standard Catalog Items Under $5100 list. (plus shipping and crating charges if applicable)

These shipment dates are guaranteed by Bertch. Any Shipment not meeting the committed shipment date will have the premium charge waived, however, shipping and/or crating will remain the responsibility of the dealer. Delivery of less than 6 cabinets will have a $147.00 drop charge added to the order.

CABINeT lAYOUT MUST Be ATTACHeD

CUBIC FeeT WeIGHTAUTHORIZeD SIGNATURe

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JOB COMpLETiON ORDER FORM

MAiLiNG ADDRESS: p.O. Box 2280, Waterloo, iowa 50704SHippiNG ADDRESS: 4747 Crestwood Drive, Waterloo, iowa 50702pHONE: 319-268-2592 FAx: 1-800-973-1200 EMAiL: [email protected]

ITeM FINISHeD STAIN NO. ITeM QTY HINGe SIDe SIDe ITeMIZeD INSTRUCTIONS UNIT PRICe exTeNSION

ITeM ITeM FINISHeD STAIN NO. QTY . HINGe SIDe SIDe ITeMIZeD INSTRUCTIONS UNIT PRICe exTeNSION

WOOD SHeeN DOOR STYle WAll DOOR STYle BASe BOx OPTION

DRAWeR GlIDeS SPeCIAl JOB INSTRUCTIONS

BIll TO: SOlD TO: SHIP TO:

ORDeR TYPe eST. SHIP DATe DeAleR PURCHASe ORDeR NO SOlD BY PAGe

BCM ORDeR NO. ACCT. NO. ORDeR DATe JOB NAMe SHIP vIA

D e l i v e r y o f l e s s t h a n 6 c a b i n e t s w i l l h a v e a $ 1 4 7 . 0 0 d r o p c h a r g e a d d e d t o t h e o r d e r .

HeRITAGe FINISH STAIN GlAZe COlOR DRAWeR HARDWARe DOOR HARDWARe