DUCT TERMINATOR REQUEST FOR QUOTATION
Initiated by:
Date:
Quote needed by:
NOTE: IT IS IMPERATIVE THAT ALL THE INFORMATION ON THIS FORM IS PROVIDED FOR US TO DESIGN A CUSTOM SPACER TO EFFECTIVELY MEET YOUR NEEDS, AND ALSO TO PROVIDE YOU WITH AN ACCURATE QUOTATION
Customer Information
Company
Address
City
State
ZIP Code
Contact Name
*
Title
Telephone
*
Fax Number
Email Address
*
Duct Terminator Information
"A" TYPE OF TERMINATOR
"B" NOMINAL DUCT SIZE
"C" TYPE OF DUCT
"D" DUCTS PER TIER
"E" HORIZONTAL SEPARATION
"F" VERTICAL SEPARATION
"G" WALL THICKNESS
QUANTITY
Other pertinent information:
