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Name *

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Last

Name of Job *

Address *

Address Line 1

Address Line 2

City

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Zip Code

Email *

Phone *

Fax

Walk-In

• Cooler
• Freezer

Box Location

• Indoor
• Outdoor

Evaporator Finish

• Galvanized Aluminum (Standard)
• Stainless Steel
• White

Ambient Temperature °F

Desired Box Temperature °F

Exposure to Sun

• Walls
• Ceiling

Usage

• Light
• Average
• Heavy
• Extra Heavy

Type of Product

Quality of Product Loaded Per 24 Hours

Temperature of Product Entering Box °F

Product Cooled to °F (In Hours)

Lights and Motors (Watts & HP)

Number of People Working in Room

Number of Glass Doors

Line Set Length

Electrical Characteristics (Volts, Phase, Cycles)

Comments/Requests *

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