BUSINESS NAME   

Contact                  

Address                 

City                        

State                      

Zip                          

Phone                    

FAX                        

Email address      

                                 Nominal Size

A.     Coolers     X

B.     Freezers   X

C.      Combos    X

              Cooler       X

    Refrigerator       X

                                             D.  Beverage Display/Storage X Std. 8' high

Number of Glass Doors 

Combos with freezer available, call for quote

SPECIFY YOUR REQUIREMENTS....

Box Location     IIndoor          Outdoor   Roof Cap Required

Floor                    Floorless     Standard Insulated Floor (s)

                             Cooler Floorless/Freezer w/floor

Refrigeration System    "Indoor" condensing Unit(s)    "Outdoor" Condensing Unit(s)

Condensing Unit/Evaporator Coll(s)/Controls/5 year Compressor  warranty

Walk-In Sketch (optional) 

Message/Special Instructions