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Furnace and Air Handler Transition Request Form

Please complete our online measurement request form, or print out the form and fax in your request to Bush Supply at (602) 381-0938.

Click Here to Print PDF - Furnace and Air Handler Transition Request

Furnace & Air Handler Transition

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Date / MM / DD YYYY
Name First Last
Company Name
Telephone - (###) - ### ####
Unit Mfg.
Unit Model Number
Job Name/ PO Number
Requested Due Date / MM / DD YYYY
Measurements (Dimensions)
TW- Top Width
TD- Top Depth
BW- Bottom Width
BD- Bottom Depth
H- Transition Height
Top Connection
Transition Type
Front to Back
Side to Side
Insulated
Accessories (list quantity and type)
Thermostat (PGM/ NPGM/ 1STG/ 2STG)
Disconnect (30/ 60/ 1ph/ 3ph)
Whip (1/2, 3/4)
Fuses (30/ 35/ 40/ 50/ 60)
Filter Rack
Filter
Duct Sealer (DS321- GREY/ CCW)
115V Cord
230V Cord
Condensate Pump (115V/ 230V)
Gas Flex (18"/ 24"/ 36")
Other

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Furnace & Air Handler Transition

Furnace & Air Handler Transition

Measurements (Dimensions)

Accessories (list quantity and type)