Van Replacement Glass Order Form -- Duncan Systems

Please fill out the form at right as completely as you can. Duncan Systems will be in touch with you shortly. If you need any assistance or have questions not answered here, call:
800-551-9149 Ext 2028

How to measure van windows

Measure windows from outside frame to outside frame (from the widest or longest point). If your window is from a vehicle manufactured from 1992 to present, measure it diagonally. Please also provide the front and rear height on these windows.

Van Glass
Replacement Form

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Window/Vehicle Information

Window Style

Select the proper window style according to the pictures below.

Single Angled T-Slider	Rectangular T-Slider	Solid Bay
Vertical Slider Bay	Double Angled T-Slider	Square Bonded Popout
	Double Angled Bonded Popout

Vehicle Make & Year:

Van Converter Name:

Window Manufacturer:

DOT # From Glass:

Window Location:

Driver Side Front Driver Side Rear Passenger Side Rear

Window Size: (inches)

See information at left on how to measure properly

Width in inches:

Front Height:

Rear height:

Diagonal Left to Right:

Diagonal Right to Left:

Frame Color:

Black
Black w/ Chrome
Brown
Other (specify)

Tint Color:

Dark Gray
Light Gray
Other (specify)

Handle Description:

Squeeze Latch
Flip Latch
Other (specify)

Frame Width

3/8 in 1-1/4 in

Contact Information

Name:

Company Name:

Street Address:

City:

State/Province:

Zip/Postal Code:

E-mail Address:

Daytime Phone:

Additional Comments :

Duncan Systems, Inc. 29391 Old U.S. 33, Elkhart, Indiana 46516
800-551-9149 FAX:888-294-2940

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