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   Custom Products Quotation Request

Thermo Forma Quotation Request for Custom Products

If you do not receive your quote within a reasonable time, please contact our Custom Products Department.

Please Note: This form is for U.S. Customers, Fisher Canada representatives and International representatives ONLY.

Canadian customers please refer all inquiries to Fisher Canada.
International (Non-US) customers, please contact your area representative.

 

Field titles with a *  denote required fields.
Please provide your name and complete address, including telephone number, fax number, City, State,
and Zip Code. Quotations cannot be emailed and must be sent via fax or regular mail.

Please complete as many fields below as possible. The more complete the information you provide, the more quickly and accurately we can provide your quotation.

Originator:
 Web Site

*Enter your company name:
Send Quote to Attn of:
Send To Address (line 1):
(line 2):
(line 3):
City:
State or Country:
 State: or Country:
Zip Code or Postal Code:
Telephone and Extension #:
 Ext:
Fax Number:
 (Required if quotation is to be faxed)

E-mail Address:
Delivery Method for Quote:
 Fax Mail Express Mail (Email is not an option)

Equipment Information
Equipment Type:
Modified From or Similar
to Forma Model Number:
Accessories:
Interior Size:
 Wide X High X Front-to-Back
Interior Material:
 20 gauge Type 304 Stainless Steel, 2-B Finish
Shelving:
 on inch centers
Exterior Size:
 Wide X High X Front-to-Back
Exterior Material:
 18 gauge cold rolled steel.
Paint Required:
 Antique White, Slate Blue Trim, Powder Coated, exterior only.
Insulation:
 Fiberglass TIW or Urethane Foam
Temp Range:
 C +/- Degrees C
Humidity Range:
 %RH, +/- 5% @ Degrees C
BTU Removal:
 @ Degrees C
Recorder:
 Size: Duration: Pen(s):
Available Electrical Supply?
 Volts, Phase, Wire, Hz, FLA
What is the Application?
What is the Equipment expected to do?
What is the Product Load?

Shipping/Delivery Information
Lift Gate Available?
 Yes No
Lift Gate Only?
 Yes No
Uncrate?
 Yes No
Stand Unit Upright?
 Yes No
Set On Stand or Counter?
 Yes No
Assemble Stand?
 Yes No
Take Upstairs?
 Yes No
Deliver to Floor Number:
Number of Steps?
 (Not the number of flights)
ElevatorAvailable?
 Yes No


Please enter Comments, Questions, or Special Instructions here:

If the information you have entered is not sufficient for us to complete your request, a Sales Rep will need to contact you for clarification or additional information.
<--- Please check this box if this is acceptable to you.
<--- Please check this box if you would like a Sales Representative to call.


 


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