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This form can also be faxed to us. Click here for a form specially formatted to fit on two 8.5 x 11 sheets of paper.

Complete this Quote Request Form to receive pricing for a Cubic Mezzanine, Equipment Platform or Office Expansion Project. If you have multiple applications, please complete additional Quote Request Forms. Once you have completed the following information, click on the SUBMIT button below.

OVERALL SIZE OF MEZZANINE OR EQUIPMENT PLATFORM

width X

length X

# of levels

MEZZANINE HEIGHT (Select One)

	Clear height		feet
	Top of deck height		feet

Do you have a clear height restriction?

No

Yes

If Yes, please describe:

COLUMN SPACING

Most economical

Largest Practical

Custom:

inches apart

DECK SURFACE

INDUSTRIAL STAIR SYSTEMS

Quantity:

Stair Type:

Closed Risers:

YES

NO

PLATFORMS

Quantity:	48" x 48"		Quantity:	45" x 45"
Quantity:	48" x 96"		Quantity:	45" x 80"

SAFETY RAILING

feet

Railing Type:

KICKPLATE

feet

SAFETY GATES

Quantity:

Safety Gate Type

SEISMIC ZONES 3 & 4 (REQUIRED DATA)

Slab Thinkness:		inches
Strength:		pounds per square inch
Soil Capacity:		pounds per square foot

WOULD YOU LIKE ANY OF THE FOLLOWING INCLUDED WITH YOUR QUOTE?

	Column Layout
	Installation Price
	Specifications
	Email Quote To:

Fax Quote To:

DESCRIBE ANY ADDITIONAL SPECIFICATIONS