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Comments  
Name:   Please note
that this Form is designed
to work with simple
Enclosures.

If you have a 
special Enclosure
Please Fax/Email a
print or sketch
with this Form
submission.
Company:  
Phone:  
Address:  
City:  
State:  
Zip:  
Email:  
Enclosure Delivery Date:  
  Enclosure/Console      
Quantity:  
* Material:   Mild Steel  304 SS  316 SS
* NEMA type:   12  4x
Rain Gutter Around Enclosure:   All Sides  Top Only  No
Size:   H x  W x  D (inches)
Number of Doors:   Other:
Door Style:   Raised  Inset  Overlapping 
Bi-Fold
Center Post:   Solid  Removable  Both None
  Options        
Lift Eyes:   Yes  No
Mount Feet:   Yes  No
Floor Legs:   Yes  No Bolt-On Weld-On
Hinge type:   Piano  Lift Off  Hidden  Other
Clamps:   Slotted Bolt  Quick Release  No
1/4-turn Latches: Slotted Tool Head Wing Knob
Padlockable Hasp & Staple:   Yes  No
Handle type:   Padlocking  Keylocking Flush  Flush Keylocking
Means for Grounding:   Studs  Steel Bar  None
Print Pocket   No  Yes
Disconnect:   No Yes  Amperage:
. AB Type: Handle Type:
Cutler Hummer Type:
SQD 9422 Type A
Door Interlock:   Mechanical  None
  Sub Panels      
Sub Panel #1:   H x W
Sub Panel #2:   H x W
Sub Panel #3:   H x W
Sub Panel #4:   H x W
Sub Panel Mounted On:   Collar Studs Unistrut Shock Mount
  Accessories        
Mounting Holes:   Yes No Please provide your Print for

any

selected Accessories
Open Bottom:   Yes No
Window Kit:   Yes No
Relay Racks:   Yes No
Louver Plates:   Yes No
Air Filters:   Yes No
Exhaust Grille:   Yes No
Shipping Holes: Yes No
Internal Angle Frame: Yes No
Swing Out Panel: Yes No
Casters: Yes No
Push-button Plugs: Yes No
Keyboard Shelf: Yes No
 

Finish / Paint

       
Standard Finish Exterior:   No  Yes
Custom Finish Exterior: Type:  Color#:  Vendor:
Finish type:   Textured Non-Textured  Other
SS Grain Direction:   Vertical  Horizontal  No Grain  N/A
Safety Orange Door:   Yes  No
Paint Interior:   White  Bead Blast  No Paint

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