Rooftop Equipment Base
Order Form
If you would like to place an order or make an inquiry, please fill in the following form.
Required fields are in blue.
QTY.
MANUF.
MODEL #
TAGGING
CURB
STYLE
CURB
HT.
PITCH
PITCH AMT. "PER 12"
1.
Trane
Lennox
Carrier
York
Rheem
Other
TC-1
TC-2
TC-3
TC-5
Flat
Long
Short
2.
Trane
Lennox
Carrier
York
Rheem
Other
TC-1
TC-2
TC-3
TC-5
Flat
Long
Short
3.
Trane
Lennox
Carrier
York
Rheem
Other
TC-1
TC-2
TC-3
TC-5
Flat
Long
Short
4.
Trane
Lennox
Carrier
York
Rheem
Other
TC-1
TC-2
TC-3
TC-5
Flat
Long
Short
5.
Trane
Lennox
Carrier
York
Rheem
Other
TC-1
TC-2
TC-3
TC-5
Flat
Long
Short
Name:
Title:
Company:
Address:
City:
State:
Zip code:
E-mail:
Telephone:
Fax:
P.O. Number :
Comments: