Package Unit Request Form

Quote Due Date*

Contact Name*

Job Name/PO #

Company (Contractor)*

Email address*

Phone #*

Packaged Equipment Selection

Manufacturer:

Tonnage (Capacity):

BTU Required (Gas):

Config. of Ductwork (Downflow or Horizontal/Side):

Duct Smoke Detector:

Old/Existing Model#:

Voltage and Phase:*

KW of Elec. Heat:

Economizer:*

Accessories (Curb Adapter, Condensate Pumps, Central Controller, etc.)

Additional Project and Request Information:

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