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Flood Defender Door

COSMOPOLITAN RANGE ATHENS I Top 2 panels OR Top 4 panels ONLY Leaded Diamond Leaded Square Georgian Bar Panel Obscured Glass OR: Clear Glass Cotswold Minster Stipulite Autumn Leaf Small Number Option Knocker Options Scroll Knocker Urn Knocker Urn Knocker Viewer

COSMOPOLITAN RANGE CANNES GEORGIAN Top arc of panels ONLY Leaded Diamond Leaded Square Georgian Bar Panel Obscured Glass OR: Clear Glass Cotswold Minster Stipulite Autumn Leaf Small Number Option Knocker Options Scroll Knocker Urn Knocker Urn Knocker Viewer

BACK DOORS & HALF PANELS HALF PANEL BOSTON Top panel ONLY Leaded Diamond Leaded Square Georgian Bar Panel Obscured Glass Cotswold Minster Stipulite Autumn Leaf OR: Clear Glass Slim Master: Slim Master

BACK DOORS & HALF PANELS TUSCANY BACKDOOR Top panel ONLY Leaded Diamond Leaded Square Georgian Bar Panel Obscured Glass Cotswold Minster Stipulite Autumn Leaf OR: Clear Glass

COSMOPOLITAN PERFECTION RANGE AYRES Top panel ONLY Glass bevels are encapsulated within the sealed glass unit, making the door easy to clean. Purity Clear backing glass. Black Gold Chrome Black Gold Chrome Dependent on survey: Small Number Option Black Gold Chrome

COSMOPOLITAN PERFECTION RANGE SEVILLE Top 2 panels ONLY Glass bevels are encapsulated within the sealed glass unit, making the door easy to clean. Sublime Clear backing glass. Small Number Option Knocker Options Scroll Knocker

COSMOPOLITAN PERFECTION RANGE VERONA Top panel ONLY Glass bevels are encapsulated within the sealed glass unit, making the door easy to clean. Elegance Clear backing glass. Dependent on survey: Small Number Option

Choices Please circle your chosen options for each door Cosmopolitan Range Cosmopolitan Perfection Range Back Doors & Half Panels Door Type Athens 1 Cannes Georgian Ayres Verona Seville Half Panel Boston Tuscany Aperture Please indicate colour choice: Black Gold Chrome Single/Double Colour Glazed Panels Glass Styles Glass Options Single Single Single Single Single Single Single Double Double Double Double Double Double Double Sherwood Sherwood Sherwood Sherwood Sherwood Sherwood Top Panel Top Panel Top Panel ONLY ONLY ONLY Top Panel ONLY Top Arc ONLY Top 2 Panels Top 2 Panels ONLY ONLY Top 4 Panels ONLY Leaded Leaded Leaded Leaded Diamond Diamond Diamond Diamond Leaded Square Georgian Bar Leaded Square Georgian Bar Leaded Square Georgian Bar Leaded Square Georgian Bar Panel Panel Panel Panel Purity Elegance Sublime Cotswold Cotswold Cotswold Cotswold Minster Minster Minster Minster Stipulite Stipulite Stipulite Stipulite Autumn leaf Autumn leaf Autumn leaf Autumn leaf Clear Clear Clear Clear Clear Backing Glass Clear Backing Glass Clear Backing Glass Handle W / B / G / C W / B / G / C W / B / G / C W / B / G / C W / B / G / C W / B / G / C W / B / G / C Letterplate W / B / G / C W / B / G / C W / B / G / C W / B / G / C W / B / G / C W / B / G / C Slimline Letterplate Scroll Knocker W / B / G / C W / B / G / C W / B / G / C Urn Knocker W / B / G / C W / B / G / C Urn Knocker Viewer W / B / G / C W / B / G / C Small Number Option W / B / G / C W / B / G / C W / B / G / C W / B / G / C W / B / G / C W / B / G / C

Property Reference: Name: Full Address: Contact Tel No: Mobile Tel No: Declaration: Email Address: I have the authority to decide the type and style of the replacement Flood Angel Flood Defender Doors as chosen overleaf for the above property, subject to suitability as determined by UK Flood Barrier surveyor at the point of survey. I understand that upon signing this document I have agreed to the door styles chosen, and understand that any subsequent change would be paid for in full by the undersigned. Signed Date Additional Notes: Office Use Combinations Checked By Date Reference