Chimney Cover Request Form "*" indicates required fields Δ Name* First Last Email Address Street Address Address Line 2 City AlabamaAlaskaAmerican SamoaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaGuamHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaNorthern Mariana IslandsOhioOklahomaOregonPennsylvaniaPuerto RicoRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahU.S. Virgin IslandsVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State ZIP Code PhonePurchase Order NumberMaterial Stainless Steel Powder Coated Black? Yes No Screen Height (inches) 8" 10" 12" (standard) 14" 16" Other Cover NotesLid Overhang (inches, measured from screen to outer edge) 2" 5" (standard) Other If Other, how many inches?Lid Style Hip/Ridge with Standing Seams Hip/Ridge without Standing Seams Horizontal Skirt (inches) 2" 3" (standard) 4" 6" Other Vertical Skirt (inches) 3" 4" (standard) 5" 6" Other Width of the base of screen (shorter side in inches)Length of the base of screen (longer side in inches)Additional InformationConsent* I agree to the privacy policy. Our custom chase cover request form is available to help you get the right product for your situation. Don’t wait any longer to contact us.