Claim Number____________

SINGLE HUNG WELDED SASH AND TOP GLASS MEASURING INSTRUCTIONS

PLEASE SELECT CORRECT SERIES: ❑ 8500 Series (Windows Manufactured January 1996 to present) ❑ 3500 Series (Windows Manufactured February 1998 to present)
(Includes 1250/8500/8540) (Includes 3240/3250/TX3250/3500/3540)
TO ORDER TOP FIXED GLASS PANEL: Quantity: __________ TO ORDER BOTTOM SASH OR BOTTOM GLASS: Quantity: __________
Measure and give the actual glass vision area only. Sash Width Measurement Sash Height Measurement
For Internal use Only: Replacement glass will be made (Measure tip to tip side of sash) ______________________ (Please Exclude Tilt Latch) ______________________
Draw Grids Here
1" larger than vision area in width and height. MEASURE THE BOTTOM SASH AS PER THE INSTRUCTIONS.
Glass Vision Area Width - __________________ Number of Locks:
Glass Vision Area Height - __________________ Color: White • Almond • Bronze
Grid Pattern: (Internal Muntin Bars) -
Color: White • Almond • Bronze (Draw Grid Pattern in Area Provided)
Grid Pattern (Internal Muntin Bars) - (Draw Grid Pattern in Area Provided) Draw Grids Here
(Please circle style of Grid)

Exclude Tilt Latch

Standard 5/8” Flat

Sash Height
Optional 7/8” Flat Welded Sash
Optional 7/8” Sculptured
Optional Low E
Height
Vision
Glass

(Please circle style of Grid)

Standard 5/8” Flat
Optional 7/8” Flat
Glass Vision Width Optional 7/8” Sculptured th
id
Sash W
Glass Options: Standard Double Pane
Optional Low E

Warranty only covers the original purchaser of the

product. Please include proof you are the original
owner with a copy of closing papers or receipt of
purchase. Discrepancies must be reported within 60 days.
Check One:
❑ Send Replacement Glass at no charge per warranty
Name ________________________________________________________________________________________
❑ Send complete replacement sash at no charge per warranty
Street Address __________________________________________________________________________________
Complete sash offered in White and Almond only
City __________________________________________________________ State _________ Zip ______________ BRONZE NOT AVAILABLE
Customer Care Hotline
Fax 717-365-3780 1-800-949-3818
Phone Number _________________________________________________________________________________

Reason for Sash Replacement **CHEMICAL FOG**________________________________________________________ Send this form to:
MI Windows and Doors, Inc.
Date of Window Purchase _____________________________ Place of Purchase ______________________________ 650 West Market Street • P.O. Box 370 • Gratz, PA 17030-0370
ATTN: Customer Care
Rev. 1/08 • MI-3899
Initials:__________ Date:_____________