Most towel bars use what is known as a "surface mounting". Surface mounting is used when access to the back of the material to which a knob or pull is affixed is inaccessible, or when no visible mounting is desired. It is sometimes called a blind mounting because no visible means of mounting are evident.
The first step to making a surface mounting is to create a post projecting out from the surface to which the hardware is to be mounted.
The second step is to slide the pull over the newly created post. Then, using the small screw set at a right angle to the post, the pull is secured to post.
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