Parts are no charge per warranty, however shipping charges will apply and must be prepaid. Please see shipping charges below.

We accept check, money order, and all major credit cards

Credit Card # __________________________________________

Exp. Date ___________________________CVV ______________

Check One: Send replacement top glass at no charge per warranty Send replacement bottom sash at no charge per warrantyShipping Charges: $25.00 per panel* Make check payable to MI Windows and Doors, Inc.

Measure whole sash tip to tip.

PLEASE SELECT CORRECT SERIES: 8500 Series (Windows Manuf. Jan 1996 to present) 3500 Series (Windows Manuf. Feb 1998 to present)

Name ______________________________________________________________________

Street Address ______________________________________________________________

City ________________________________ ST ___________ Zip _______________________

Phone Number ______________________________________________________________

Email _______________________________________________________________________

Reason for Claim ____________________________________________________________

Month, Date, Year of Product Manufactured: ______(MM) _____(DD) _______(YY)

**Must provide proof of purchase**

3500/8500 Single Hung Welded Sash and Top Glass Measuring Instructions

TOP GLASS (Measure Glass Vision Area)Quantity: _______

Glass Vision Width: __________________

Glass Vision Height: __________________

Color: White Almond

Grids: Yes—Please draw grid pattern in area provided No

Grid Style: 5/8” Flat 7/8” Flat 11/16” Sculptured 15/16” Sculptured

Glass Options: Check (9) all that apply Clear Double Pane Low E/Argon Tempered Obscured(frosted)

*If you would like to upgrade your Glass Options see below for pricing

For Internal Use Only: Replacement glass will be made 1” larger than vision area in width and height.

**ALL INFORMATION IS REQUIRED. INSUFFICIENT OR INCOMPLETE FORMS WILL DELAY THE PROCESS**

BOTTOM SASH (Measure Complete Sash)Quantity: _______

Bottom Sash Width: __________________

Bottom Sash Height: __________________

Color: White Almond

Number of Locks: _____________

Grids: Yes—Please draw grid pattern in area provided No

Grid Style: 5/8” Flat 7/8” Flat 11/16” Sculptured 15/16” Sculptured

Glass Options: Check (9) all that apply Clear Double Pane Low E/Argon Tempered Obscured(frosted)

*If you would like to upgrade your Glass Options see below for pricing

DRAW GRID PATTERN BELOW DRAW GRID PATTERN BELOW

Measure and give the actual glass vision area only

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.

Claim Number ________________

* Different sizes must be on separate forms. Please make copies.

REV 05/2010

Send this form along with your payment to: MI Windows and Doors, Inc. 650 West Market Street • P.O. Box 370 • Gratz, PA 17030-0370 ATTN: Customer CareWebsite: www.miwd.com ● E-Mail: customercare@miwd.com | Phone: 717-365-2500 ● Fax: 717-365-3780

Discrepancies must be reported within 60 days

Glass Option Upgrade Costs: (Charges Only Applicable If Upgrading Glass) Low E/Argon or Obscured Glass—$25.00 per panel Adding Grids Between the Glass—$10.00 per panel Tempered Glass—$40.00 panel

Only use this section if you currently do not have these options.

Preparation For New Glass Panel

1. Remove glazing bead pieces which hold the top glass into place by inserting a standard screwdriver and twisting as shown. After bead is loose pull out fully. Save these pieces for new glass re-installation. (CAUTION: the glass panel may be loose when re-moving glazing bead).

2. With a utility knife, carefully cut, as shown, along broken glass on four (4) sides until it is free from the main frame and meeting rail.

3. Clean window main frame and meeting rail of glass and sealant to obtain a clean surface for the new glass panel. Save the vinyl setting block for re-installation.

Installation of New Glass Panel

4. Determine proper orientation of the glass panel in the main frame. Replace the vinyl setting blocks on the meeting rail. Remove the backing from the seal-ant on the glass to expose sealant. Carefully place glass panel not the on the main frame, allow the panel to rest on the setting blocks.

5. With wooden block and mallet, tap glazing beads into slot in main frame and meeting rail on all four (4) sides to hold glass panel in place. Do horizontal pieces first.

Single Hung Fixed Glass Replacement Instructions

Sin

gle

Hu

ng

Sa

sh

Re

mo

va

l

Sa

sh

Til

tin

g I

nstru

ctio

ns:

To T

ilt B

otto

m S

ash

1.U

nloc

k w

indo

w2.

Rais

e th

e bo

ttom

sas

h ap

prox

imat

ely

1”

to 2

”.3.

Push

and

hol

d til

t lat

ches

tow

ard

the

cent

er o

f the

win

dow

, whi

le p

ullin

g in

-w

ard.

To C

lose

Win

dow

1.Ti

lt sa

sh in

to o

rigi

nal p

ositi

on.

2.Pu

sh in

to o

rigi

nal p

ositi

on a

nd lo

ck.

Sa

sh

Til

tin

g a

nd

Re

mo

va

l

Instru

ctio

ns

To T

ilt B

otto

m S

ash

1.U

nloc

k w

indo

w2.

Rais

e th

e bo

ttom

sas

h ap

prox

imat

ely

1”

to 2

”.3.

Push

and

hol

d til

t lat

ches

tow

ard

the

cent

er o

f the

win

dow

, whi

le p

ullin

g in

-w

ard.

Tilt

app

roxi

mat

ely

90*.

4.H

old

sash

at t

he b

otto

m a

nd p

ush

dow

n on

one

sid

e w

hile

hol

ding

the

othe

r si

de

in p

ositi

on. T

his

will

dis

enga

ge p

ivot

bar

s lo

cate

d at

the

bott

om o

f the

sas

h fr

om

the

bala

nce

shoe

in t

he ja

mb

trac

k.

To R

epla

ce S

ash

1.Re

plac

e sa

sh b

y in

sert

ing

one

pivo

t bar

in

to b

alan

ce s

hoe,

tilt

sash

and

gui

de

othe

r pi

vot b

ar in

to th

e ba

lanc

e sh

oe.

2.Ti

lt sa

sh in

to o

rigi

nal p

ositi

on.

3.Pu

sh s

ash

into

ori

gina

l pos

ition

.4.

Low

er s

ash

and

lock

.

We

lde

d S

ash

Gla

ss R

ep

lace

me

nt I

nstru

ctio

ns

1.Re

mov

e sa

sh to

be

re-g

laze

d by

tilti

ng s

ash

90 a

nd li

ftin

g on

e si

de o

nly

of s

ash

until

sas

h di

seng

ages

from

w

indo

w fr

ame.

2.La

y sa

sh o

n fla

t sur

face

with

insi

de o

f sas

h fa

cing

upw

ard.

3.Ca

refu

lly re

mov

e gl

azin

g be

ads

by in

sert

ing

a st

anda

rd s

crew

driv

er b

etw

een

sash

rail

and

glaz

ing

bead

jo

int.

Gen

tly ta

p sc

rew

driv

er w

ith a

ham

mer

as

show

n in

figu

re 1

. (N

ote:

Rem

ove

side

gla

zing

bea

ds fi

rst.

) Re

mov

e al

l fou

r bea

ds a

nd s

ave

for r

e-in

stal

latio

n.4.

Lay

sash

so

that

insi

de s

urfa

ce is

faci

ng d

own.

Usi

ng a

util

ity k

nife

, car

eful

ly c

ut a

long

the

join

t whe

re th

e sa

sh ra

il gl

azin

g le

g m

eets

the

glas

s on

all

side

s un

til o

ld g

lass

pan

el is

free

from

fram

e. (s

ee fi

gure

2).

5.A

fter

gla

ss is

rem

oved

, cle

an re

mai

ning

gla

zing

tape

from

gla

zing

leg

usin

g a

stan

dard

scr

ewdr

iver

or u

til-

ity k

nife

.6.

Inst

all n

ew g

lass

pan

el b

y re

mov

ing

glaz

ing

tape

bac

ker o

n ne

w g

lass

pan

el. A

void

touc

hing

exp

osed

sea

l-an

t and

kee

p as

cle

an a

s po

ssib

le.

7.La

y sa

sh w

ith in

side

sur

face

faci

ng u

pwar

d. C

aref

ully

lay

new

gla

ss p

anel

ont

o sa

sh g

lazi

ng le

g. T

ry to

cen

-te

r gla

ss b

etw

een

sash

rails

. Aft

er g

lass

is in

, car

eful

ly a

pply

slig

ht a

mou

nt o

f pre

ssur

e on

gla

ss to

ens

ure

cont

act b

etw

een

glaz

ing

tape

and

leg.

8.

Re-in

stal

l gla

zing

bea

ds o

n al

l fou

r sid

es b

y us

ing

a bl

ock

of w

ood

and

a ha

mm

er. P

lace

woo

d bl

ock

on

glas

s su

rfac

e an

d ge

ntly

tap

with

ham

mer

as

show

n in

figu

re 3

. 9.

Repl

ace

sash

in w

indo

w fr

ame.