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Request Door Opener Quotation

Please utilize our exclusive request form to provide us with details for an accurate quotation. Our trained staff will determine and quote the most appropriate model based on your information. If necessary an Erich Industries, Inc. representative will contact you for additional details. This form should speed your process and only take a few minutes to complete.

Please provide the following information::

1.
* How many total locations do you require the door openers?
2.
* How many of your opener locations are single (one door panel)?
3.
* How many of your opener locations are double (two door panels)?
4.
* On what type of swing door(s) will the opener(s) be utilized?
Use your Ctrl & Shift keys to select multiples.
5.
* Please estimate the weight of your door type.
6.
* Please describe your application(s) - (i.e. traffic doors in postal facility, fiberglass doors in cleanroom airlock, etc.)
7.
* Is there a source of compressed air on site?
Yes   No   Not Sure
8.
If compressed air is not available, would you like your quote to include our optional remote compressor package?
Yes   No   Not Sure
9.
* Please indicate what type of activation sensors and safety devices you would like included on your quote? Detail all that apply.
Use your Ctrl & Shift keys to select multiples.
10.
* Is your traffic flow from one or both directions?
One Way   Two Way   Other   Not Sure
11.
* What type of traffic uses the opening(s)? Detail all that apply.
Use your Ctrl & Shift keys to select multiples.
12.
*

Will any of the following items be utilized (or currently exist) on your door opening(s)?

Use your Ctrl & Shift keys to select multiples.
13.
*

Do any of the following items currently act as a closer on your door opening(s)?

14.
Please estimate the amount of cycles the opening(s) receive per typical day.
15.
Provide any additional information or detail special conditions that would be required to accurately provide your quotation.
16.
* Name
17.
Title
18.
* Organization
19.
* Address Line 1
20.
Address Line 2
21.
* City
22.
* State/Province
23.
* Zip/Postal Code
24.
Country
25.
* Phone
26.
Fax
27.
* Email
28.
* How did you locate us?
Online Google Search   Online Yahoo Search
Online MSN Search   Other Online Search
Magazine   Trade Show
Mailing   Fax Notice
Sales Representative   Other
29.
* Please best describe your organization.
Product User   Contractor   Reseller   Architect   Other
Thank you for your interest in our award winning door openers. Your quotation will be prepared promptly in accordance with this information.

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Erich Industries, Inc. has been exceeding customer expectations since 1979. Our goal is to perform in this manner for you.

Erich Industries, Inc.
Phone: 800-882-5839
Fax: 608-848-9690
webmaster@ErichIndustries.com

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