Number of Units: Date Received:
Customer Name: Date Received:
Job Name: Quote Valid Until:
Address: City: State:
Quote Entered By: Email Address:
Contact Info: Cell# Work: Fax:

Size: Box Color:
Stand: Stand Color (Custom Avail.):
Rec Color: Light: Front Lens:
Buss Bar: Bottom Lens:
Receptacle 1:
Receptacle 2:
   
Additional Notes:
Kilowatt Hour Meter:
Quantity:

Kilowatt Hour Meter:
Quantity:
Water:
Quantity:
Water Meter Quantity: