BMIL Basic Walk-In Request For Quote Form

Basic 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.

Box ID:	Approx. Size: ft L X ft W X ft High	Pre-Fab Insulated Floor Yes or No
Cooler or Freezer	Temperature desired °F °C	Location Indoor Outdoor
	Door	Available Power:
	Interior Finish:	Exterior Finish:

Comments/Additional details about your requirements:

For additional walk-ins, you can resubmit this form multiple times, or you can clarify above if walk-in is multi compartment.

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

General Walk-In Accessories:
Observation Window Wire Shelving Strip Curtains Audio/Visual Temperature Alarms Temperature Recorder	Exterior Ramp Interior Ramp (for walk-ins with floor panels). Small Pressure Relief Port (Less Than 400 sq ft) Bally PVC Pressure Relief Port Polished Hardware Chrome Hardware	Blast Freezer Kit Kickplates SuperDoor (3 Hinges & Kick Plates) Strip Curtain CooLogic Refrigeration Control/Alarm 2 year High-Mortality Parts Kit