Bid Request Form

To ensure the best quotation for your facility, please fill out the information below. A Wireless System Expert will contact you with an estimate based on your individual needs.

Number of Buildings:

Signal Coverage Area:

(Acreage)

Building Square Footage:

Number of Floors:

Building Material Type:

Do you require clocks below ground?

Name of Facility:

Facility Location:

City:

State:

If this is a medical application, are there shielded rooms?

Quantity of Clocks Needed:

Analog 12":

Analog 15":

Digital 4 digit:

Digital 6 digit:

Double Dial:

(Hallway)

Wood:

Do you require 5-Year Maintenance Free Clocks?

Would you like FREE personalized clocks?

Do you need bell programming options?

Would you like a Free 30 Day Field Test Unit?

Your Contact Information

Name

Company

Address

City

State

Zip

Phone

Questions/
Comments

Submit

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