TV Information:

1) TV Manufacturer and Model#:(ie. LG 42LBX)

TV Manufacturer: TV Model#:

2) Outside Dimensions of TV:

How To Measure your TV

Width Height Depth

3) Screen Size:(**Measured Diagaonally**)

Up to 30"($99 $79 ) 31"-39"($109 $89 ) 40"-46"($199 $149 )
47"-52"($209 $179 ) 53" & up($229 $199 )

Wall Mounting Hardware Information:

**NOTE: For STAND or PEDESTAL MOUNT, Please type STAND or PEDESTAL in this section. PLEASE MEASURE CAREFULLY, as the saying goes "Measure twice, cut once".

Mount Measurements:

A: B: C:

How To Measure your Mounting Harware.