Become A Dealer

First Name*
Last Name*
Business Name*
Phone*
Email*
Type of Business/Company
Street address*
City*
State*
Zip*
Business Website
Does your facility have a warehouse/showroom?*
Does your facility accept tractor trailer delivery?*
Are you willing and able to service the products you sell?*
Please list your previous year's retail sales volume.*
How many years has your company been in business?*
Do you have help available to unload product?*
Additional Comments

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This field is hidden when viewing the form
Request ID

Randomly generated request ID so dealers can duplicate previous requests
Customer Information
Customer Number*
Customer Name*
Customer Email*
Customer Phone*
Customer Address*
Street Address Address Line 2 City State ZIP Code
PGTI Sales Contact
Project Information
Project Name
Ship To Address*
Street Address Address Line 2 City State ZIP Code
Configuration
Frame Width (inches)*
Frame Height (inches)*
Please enter a number from 0 to 120.
Pivot Location (inches)*
Pivot Location (inches)*
Pivot Location (inches)*
Frame Color*
Glass Family*
Glass Type*
Glass Type*
Glass Type*
Glass Color*
Low-E*
Low-E*
Bead Type*
Hardware Set*
Hinge Location*
Handle Finish*
Surface Applied Muntin Options*
Muntin Option pricing is currently unavailable and is not accounted for in request pricing results.
Grids Between Glass*
Grid pricing is currently unavailable and is not accounted for in request pricing results.
Muntin Pattern*
Upload Image of Muntin Pattern
Accepted file types: jpg, png, pdf, Max. file size: 10 MB.
Additional Information/Comments

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This field is hidden when viewing the form
Request ID

Randomly generated request ID so dealers can duplicate previous requests
Customer Information
Customer Number*
Customer Name*
Customer Email*
Customer Phone*
Customer Address*
Street Address Address Line 2 City State ZIP Code
PGTI Sales Contact
Project Information
Project Name
Ship To Address*
Street Address Address Line 2 City State ZIP Code
Configuration
Frame Width (inches)*
Frame Height (inches)*
Please enter a number from 0 to 144.
Select a configuration*
Frame Color*
Glass Family*
Glass Type*
Glass Type*
Glass Color*
Low-E*
Handle Finish*
Surface Applied Muntin Options*
Grids Between Glass*
Muntin Pattern*
Upload Image of Muntin Pattern
Accepted file types: jpg, png, pdf, Max. file size: 10 MB.
Additional Information/Comments

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Style

Sliding Glass Doors

Terrace Doors

Entrances

Garage Doors

Series

Options

Materials

Style

Picture Windows

Single Hung

Horizontal Roller

Casement Window

Awning Window

Bay Window

Window Wall

Series

Options

Materials

Become a Dealer

Customer Information

Project Information

Configuration

Customer Information

Project Information

Configuration

Customer Information

Project Information

Configuration