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Powerflor Quote Request

Please fill in the requested information below..
Client Information Name:


Address:


City:


State/Province:           Zip/Postal Code:
  
POC:

Phone:                    Fax:
  
Email:

Location/Room/Floor:

General Project Information
Estimated Delivery Requirement:
Day:    Month:    Year:

Total Area Served [Sq. Ft.]


Number of Access Points:
Non ADA:    ADA:    None:

Carpet Tile Selection: Milliken Carpet Tile
Pattern #:                Color:
  
Other Carpet Tile Selection: Manufacturer
Pattern #:                Color:
  
Electrical Information
Total Number of Electrical Outlets Required For Project:
(If Dedicated or Isolated circuitry is required for any outlets)


Quantity of Outlets Required Per Circuit:
(This must be noted below and on the drawing)


Other Special Electrical Requirements / Instructions:

Comunication Information

As a standard Powerflor specifies and provides identical cabling and outlets for both voice (phone) and data (network) connections. If this is not acceptable for this project you must identify this in the Special Requirements below

Total Duplex Outlets Required per Project:
(Duplex Outlets provide two connection points per outlet)


Communication Service / Category:
(Category 6 UTP Copper is our standard)


Will communication service be routed through an LDS Utility Center?
Yes No

Our LDS Center can function as a conslidation or distribution point. We do not include internal components for these purposes. Center provides standard 19 inch wire rack mounting hardware

Other Special Communication Requirements / Instructions:

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Powerflor Quote Request