Servicor Quote Form

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*Company:
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*State or Province:		*Zipcode:*
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*Phone:	(xxx-xxx-xxxx)	*Fax:	(xxx-xxx-xxxx)
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Contact Information
(* indicates required field)

*Company:

*Your Name:

Title:

*Address:

*City:

*State or Province:

*Zipcode:*

*Country:

*Phone:

(xxx-xxx-xxxx)

*Fax:

(xxx-xxx-xxxx)

*Cell Phone or msg phone:

*E-mail Address:

Clean Room Details and Description If you are submitting this form for equipment instead of a cleanroom please proceed to the bottom of the form to Cleanroom Components. This form may be submitted without answering all questions; although we recommend filling out as much information as possible. The accuracy of the quote we can provide is directly proportionate to the information you provide our technnical sales staff. The complexity and importance of proper program design and specification may require follow-up discussion with a Servicor Sales Engineer to finalize your quote.
Cleanroom Application - What function(s)/process(es) should the cleanroom be designed to support?

DIMENSIONS
1.Cleanroom Dimensions	Width Length Height
2. Existing Interior Ceiling Height:	Minimum 20" Clearance recommended
3. Gown Up Area:	Width Length Height
	Interior - within room or
	Exterior - outside of room
HARDWALL, STRETCHWALL, SOFTWALL
Click the desired type of cleanroom you are looking for, then answer the questions that correlate with each one. For Hardwall answer questions 1,2 & 3 ; for Softwall and Stretchwall answer questions 1, 2, & 4 . These are designed to better understand your needs and give you the most specific quote possible.
1. Construction Style:	Softwall Stretchwall Hardwall
2. Cleanroom Classification:
3. Hardwall Panel Material:	Top Bottom
4. Stretchwall/Softwall Panel Material:

Clean Room Details and Description

If you are submitting this form for equipment instead of a cleanroom please proceed to the bottom of the form to Cleanroom Components.

This form may be submitted without answering all questions; although we recommend filling out as much information as possible. The accuracy of the quote we can provide is directly proportionate to the information you provide our technnical sales staff.

The complexity and importance of proper program design and specification may require follow-up discussion with a Servicor Sales Engineer to finalize your quote.

Cleanroom Application - What function(s)/process(es) should the cleanroom be designed to support?

DIMENSIONS

1.Cleanroom Dimensions

Width Length Height

2. Existing Interior Ceiling Height:

Minimum 20" Clearance recommended

3. Gown Up Area:

Width Length Height

Interior - within room or

Exterior - outside of room

HARDWALL, STRETCHWALL, SOFTWALL

Click the desired type of cleanroom you are looking for, then answer the questions that correlate with each one. For Hardwall answer questions 1,2 & 3 ; for Softwall and Stretchwall answer questions 1, 2, & 4 . These are designed to better understand your needs and give you the most specific quote possible.

1. Construction Style:

Softwall Stretchwall Hardwall

2. Cleanroom Classification:

3. Hardwall Panel Material:

Top

Bottom

4. Stretchwall/Softwall Panel Material:

DOORS
1. How many single (4' standard) swing doors are required?
2. How many double (8'standard) swing doors are required?
3. How many sliding(8' standard) doors are required?
4. Would you prefer Strip Curtains at entry/exit?	Yes No
5. Would you prefer 0.08" X 8" wide or 0.06" X 14" strips?	0.08" x 8" 0.06" x 14"
ELECTRICAL
1. How many 120v Duplex Light Switches are required?
2. Specify the location of Light Switches
3. How many 120V Duplex Outlets are required?
4. Specify the location of Duplex Outlets
5. Number of 24" x 24" Pass-Thru cubes?
6. Sprinkler System required?	Yes No
7. Seismic Zone ratings required?	Yes No
8. Date for completion: Completed and fully operational on:
9. This cleanroom project is:	Approved & Funded Budgetary

CLEANROOM COMPONENTS
Hepa Station	Portable Process Environments
Isolation Barriers: Plastics	Other

Please describe your specific requirements and needs including: specifications, dimensional criteria, restrictions and/or performance parameters

Any other pertinent information, specifications, or comments:

How were you referred to Servicor?

DOORS

1. How many single (4' standard) swing doors are required?

2. How many double (8'standard) swing doors are required?

3. How many sliding(8' standard) doors are required?

4. Would you prefer Strip Curtains at entry/exit?

Yes No

5. Would you prefer 0.08" X 8" wide or 0.06" X 14" strips?

0.08" x 8" 0.06" x 14"

ELECTRICAL

1. How many 120v Duplex Light Switches are required?

2. Specify the location of Light Switches

3. How many 120V Duplex Outlets are required?

4. Specify the location of Duplex Outlets

5. Number of 24" x 24" Pass-Thru cubes?

6. Sprinkler System required?

Yes No

7. Seismic Zone ratings required?

Yes No

8. Date for completion: Completed and fully operational on:

9. This cleanroom project is:

Approved & Funded Budgetary

CLEANROOM COMPONENTS

Hepa Station

Portable Process Environments

Isolation Barriers: Plastics

Other

Please describe your specific requirements and needs including: specifications, dimensional criteria, restrictions and/or performance parameters

Any other pertinent information, specifications, or comments:

How were you referred to Servicor?