Commercial Refrigeration Request Form

Fields marked with an asterisk * are required.

Date Date / MM / DD YYYY
Job Name/PO:
Phone #
Preferred Branch
Company Name
Job Location
Contact Name Contact Name First Last
Email
Equipment Information

Please Choose
Equipment/Box

Equipment/Box Equipment Only Equipment & Box
Altitude

Altitude 0-1000' 1001' - 2500' Other Other
General Info

General Info Indoor Box Conditioned Space
General Info

General Info Freezer
Box Temp °F
Length
Length ID or OD

Length ID or OD ID OD
Width
Width ID or OD

Width ID or OD ID OD
Height
Height ID or OD

Height ID or OD ID OD
Business Type

Business Type Food Retail Restaurant Cold Storage Cooler Other Other
Box Condition

Box Condition Poor Okay New Other Other
Door Type
Swing Doors
Swing Doors Size(s)
Sliding Doors
Sliding Door Size(s)
Rollup Doors
Rollup Door Size(s)
Glass Doors
Glass Door Size(s)
Is there any product being brought into the box at room temp or warmer?
Type of Product
Approximate Weight
Temp of Product
Is there a specific amount of time for the product to reach holding temp?
Pulldown Time
Frequency of Loading
Notes
Equipment
Equipment Brand

Equipment Brand Larkin Russell Tecumseh Copeland Other Other
Condensing Unit

Condensing Unit Outdoor Indoor Self Packaged Other Other
Evaporator Unit Coil

Evaporator Unit Coil Low Profile (Standard) Center Mount Low Velocity Voltage/Phase Voltage/Phase
Controls

Controls Mechanical (Loose) Mechanical Factory Installed Intel/EcoNet
Upload a Project Sketch.
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Attach Files
Additional Project and Request Information:
After submitting this form, you will receive a completed copy via email immediately following the submission.

Commercial Refrigeration Request Form

Commercial Refrigeration Request Form

Equipment Information

Door Type

Is there any product being brought into the box at room temp or warmer?

Is there a specific amount of time for the product to reach holding temp?

Equipment

After submitting this form, you will receive a completed copy via email immediately following the submission.