BMIL Detailed Walk-In Request For Quote Form

Advanced Walk-In Quote Request Form

Name:		Street address:
Title:		Address cont.:
Organization:		City:
Phone:		State/Province:
FAX:		Zip/Postal code:
E-mail:		Country:
URL:
Please ensure your e-mail/phone number is correct to ensure we can contact you.

Door 2:

Reach-In 18½"& 30" Wide
Other Sizes Available

Observation Window
Polished Hardware
Chrome Hardware
Blast Freezer Kit

Kickplates
SuperDoor
(3 Hinges & Kick Plates)
Strip Curtain

Interior:

Exterior:

Door 2:

Reach-In 18½"& 30" Wide
Other Sizes Available

Observation Window
Polished Hardware
Chrome Hardware
Blast Freezer Kit

Kickplates
SuperDoor (3 Hinges
& Kick Plates)
Strip Curtain

Interior:

Exterior:

Comments/Additional details about your requirements:

If you prefer, you can print this form and Fax it to us at 252-727-0996

Box Identification	Dimensions	Exterior Height	Panel Thickness	Finish:
Box Location: Indoor Outdoor			Walls: 4" 5" 6" Ceiling: 4" 5" 6" Floor: 4" 5" 6" (if applicable)	Interior: Exterior:
Door 1:	Reach-In 18½"& 30" Wide Other Sizes Available	Observation Window Polished Hardware Chrome Hardware Blast Freezer Kit	Kickplates SuperDoor (3 Hinges & Kick Plates) Strip Curtain	Interior: Exterior:

Refrigeration 1	Ambient Temp	Defrost	Condenser	Compressor	Refrigerant
		Electric Air Hot Gas	Air-Cooled Water-Cooled Remote - Air Cooled	Copeland Semi- Hermetic Copeland Hermetic Bitzer Carlyle
Product Load	Avail Electrical

Refrigeration System Accessories:
Suction Accumulator Oil Separator Pre-Assembled Evaporator Sealed Liquid Line Filter Drier Sealed Suction Filter with Vibration Eliminator Replaceable Liquid Line Filter/Driers Replaceable Suction Filters	Mechanical Defrost Time Clock Electronic Time Clock Defrost Heater Contactors Defrost Fan Motor Contactors Sentronic Oil Failure Control (For Copeland Compressors Only) Phase/Voltage Monitor Flex Hose on all controls	RefriLogic Redundant Refrigeration Control (Requires Two (2) Refrigeration Systems) CooLogic Refrigeration Control (Can control Two (2) Refrigeration Systems) Heresite Coated Evaporator Coil Heresite Coated Condenser Gold-Fin Corrosion Resistant Evap Fins Gold-Fin Corrosion Resistant Cond. Fins 2 year High-Mortality Parts Kit

General Walk-In Accessories:
Wire Shelving Strip Curtain Audio/Visual Temperature Alarms Temperature Recorder	Exterior Ramp Interior Ramp Small Pressure Relief Port (Less Than 400 sq ft) Bally PVC Pressure Relief Port	Observation Window in a Panel Aluminum Standing Seam Roof Cap Membrane Roof Cap 2 year High-Mortality Parts Kit

Additional Walk-In
Box Identification	Dimensions	Exterior Height	Panel Thickness	Finish:
Box Location: Indoor Outdoor			Walls: 4" 5" 6" Ceiling: 4" 5" 6" Floor: 4" 5" 6" (if applicable)	Interior: Exterior:
Door 1:	Reach-In 18½"& 30" Wide Other Sizes Available.	Observation Window Polished Hardware Chrome Hardware Blast Freezer Kit	Kickplates SuperDoor (3 Hinges & Kick Plates) Strip Curtain	Interior: Exterior:

Refrigeration 2	Ambient Temp	Defrost	Condenser	Compressor	Refrigerant
		Electric Air Hot Gas	Air-Cooled Water-Cooled Remote - Air Cooled	Copeland Semi- Hermetic Copeland Hermetic Bitzer Carlyle
Product Load	Avail Electrical

Additional Refrigeration System Accessories:
Suction Accumulator Oil Separator Pre-Assembled Evaporator Sealed Liquid Line Filter Drier Sealed Suction Filter with Vibration Eliminator Replaceable Liquid Line Filter/Driers Replaceable Suction Filters	Mechanical Defrost Time Clock Electronic Time Clock Defrost Heater Contactors Defrost Fan Motor Contactors Sentronic Oil Failure Control (For Copeland Compressors Only) Phase/Voltage Monitor Flex Hose on all controls	RefriLogic Redundant Refrigeration Control (Requires Two (2) Refrigeration Systems) CooLogic Refrigeration Control (Can control Two (2) Refrigeration Systems) Heresite Coated Evaporator Coil Heresite Coated Condenser Gold-Fin Corrosion Resistant Evap Fins Gold-Fin Corrosion Resistant Cond. Fins 2 year High-Mortality Parts Kit