Contact Name:   
Company Name:
Phone :               
What equipment will the cable be supporting?
What type of cable will you use?
Please estimate the number of cables to be installed:  
Please approximate the average run of cable:
Please specify the number of floors involved in your project:
How many workstations need to be cabled (include voice AND data connections)? 
Is your facility affected by power surges? Yes  No
Is there asbestos in your building?  Please TYPE in 'yes', 'no', or briefly explain: 
What is the height, in feet, of the ceiling?
How is the ceiling constructed?
How are the walls constructed?

What is the location (address) of the job? 

Address:
City:         State:   
Zip: