Dealer Form Dealer/Store* Sales Person* Customer* Date* P.O. #* Sign Off / Confirmation Date Dutchmaid Installation YesNo Dutchmaid Delivery YesNo Room* KitchenBathroomClosetOther Other Room name Cabinet Style Overlay Partial OverlayFull OverlayInsetFrame-lessBeaded InsetNone StainPaintedGlazedDistressedRub ThroughColor Match Required ($150) Finish Details Wood Species MapleBrown HickoryRustic HickoryRed OakRustic AlderGrey Elm (upcharge)Cherry (upcharge)Walnut (upcharge)White Oak (upcharge)Other *Hard maple is used as standard for painted cabinets. Other Wood Species Wood Species Details Door Style Door Name/Style MidwestSeybertMerrillNewburyColonyDutch ShakerMarketClayFarmsteadBraxtonSlab Door Name/Style Details Door Style Custom Combo (Ex:Midwest I/S Edge,Clay O/S, Newbury Panel) Door Rail Custom Size Door Rail & Style Std 2-3/4in. Outside Edge Profile Inside Edge Profile Panel Drawer Front Style Drawer Style Slab5 PieceCombination Drawer Style Details Drawer Style Combo Outside Edge Profile Inside Edge Profile Panel Drawer Rail & Style Std 2-3/4in. Drawer Rail Custom Size Cabinet Sides Integrated Flush(Smooth)Integrated Matching DoorMatching Door OverlayNone Toe Kick YesNo Note: 3-1/2” Toe Kick Is Standard Cabinets With Glass Doors Standard Clear GlassCustom GlassNone Custom Glass Interior Color Matching Cabinet Doors YesNo Shelf Type Wood Shelves StdGlass ShelvesNone Grids ColonialPrairieNone *Interior Cabinet Standard Area: Natural Maple Finish Hardware Door KnobPullNone Model # Drawer KnobPullNone Model # Lighting Prep YesNo Notes Corbels YesNo Style Posts YesNo Style Cabinet Trim YesNo Crown RailCrown MoldingUnder CabinetBase MoldingScribe TrimSplice Trim Kitchen Cabinet Accessories Trash Pull Out DoubleSingleNone Specify For Custom Needs Spice Rack YesNo Spice Rack Options Spice RackDoor AttachedRevolve A RackSpice Pull Out BaseSpice Pull Out Upper Specify Type Kitchen Post YesNo Specify Type Island Post YesNo Specify Type Beams Or Abutments YesNo Specify Type Paper Towels Paper Towel In DrawerPaper Towel In Tall Pantry Pull OutNo Paper Towel Silverware Standard InsertLarge SilverwareTiered Silverware Drawer Specify Type Tupperware Adjustable Roll OutNone Specify Type K-Cup Insert (Pods) Drawer InsertNone Specify Type Cutting Board Drawer Top Pull OutDrawer Top pull Out Above Trash With Hole Specify Type Knife Storage Two Tiered Drawer InsertSingle Drawer Insert Specify Type Charging/Dock Station Drawer InsertNone Specify Type Cooking Sheet/Tray Storage Built-In W/ Removable Vertical DividersBuilt -In W/Removable Horizontal DividersPull Out With Dividers Specify Type Corner Cabinet (Base Cabinets) Storage Options Shelf Mount Susan Square 90 Degree Corner W/ Double Hinged DoorsShelf Mount Susan Diagonal Corner CabinetSquare Corner Drawers (Not Available With Inset Style Cabinets)Adjustable Shelves Square Corner W Double Hinged DoorsAdjustable Shelves With Diagonal CabinetAdjustable Shelves Blind Corner RightAdjustable Shelves Blind Corner LeftChrome Pull Out Blind Corner RightChrome Pull Out Blind Corner Left Corner Cabinet (Upper Wall Cabinets) Storage Options Shelf Mounted Susan Angle CabinetAdjustable Shelves Angle CabinetAdjustable Shelves Square Corner CabinetsAdjustable Shelves Blind Corner RightAdjustable Shelves Blind Corner Left Appliance Garage Door LiftGarage DoorNo Appliance Garage Specify Type Range Area Standard 4in. Heat Deflector HoodStandard Metal Wall Heat DeflectorNon Vented Range Hood InsertCustom Range HoodNone Specify Color Specify Type *Please Specify Custom Hood With Picture/Sketch & Dimensions (attach file below) Sink Area Sink Type Under MountApronFarm StyleTop MountNone *Dutchmaid would like to have your preferred sink for measurement purposes. Sink Area Standard Soft Close Tip Outs With TrayStep Up Pull Out In Sink BasePosts Needed for Extended Cabinet Appliances Refrigerator Dishwasher Range, Or Cook Top Range Hood Microwave Warming Drawer Double Oven Model # Model # Model # Model # Model # Model # Model # Dimensions Dimensions Dimensions Dimensions Dimensions Dimensions Dimensions Room Details Wall To Wall Measurements Wall Space Taken By Cabinets (Allowing 4” For Crown On Ends) Corner To Center Of Window Window Width & Height Window Reveal For Paint From Trim To Cabinet Ceiling Height Height To Top Of Crown Molding Countertop Overhangs Per-side Island Details Island Overall Size Island Location Spacing From Wall Special Consideration For Bringing Cabinets In: Door Width, Stairways, Etc. Attached Files Upload Drawings, Plans, Or Photos
