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AMERICAN GARAGE DOORS
(503) 880- 6974
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ZIP/Postal Code (Location of Request)*
Which kind of garage door do you need?
 Single car garage door 
 Double car garage door 
 RV garage door 
 Other 
What type of garage door would you like? (Check
all that apply)
 Steel 
 Aluminum 
 Vinyl 
 Fiberglass 
 Masonite 
 Custom (wood application) 
 Sectional 
 Tilt-up 
 Plain glass panels 
 Decorative glass panels 
 Other 
Do you want a garage door opener installed with
your new garage door?
 No 
 Yes, need new system installed 
 Yes, need existing system re-installed 
 Don't know 
Choose the appropriate status for this project:*
When would you like this request to be completed?*
Please provide a short description of your
project:
Name*

First
Last
Address*

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City
State / Province / Region

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Phone Number*

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