Company Information

Company Name *

Contact Person *

Phone Number *

Fax *

Contact Email *

Address *

City *

State *

Zip Code *

System Specifications

Type of Vacuum System *

Number of Simultaneous Users *

Hose Size *

2 Inches 1-1/2 inches 1-1/4 inches

System Layout Available? *

Yes No

Where is the vacuum source to be located? *

Altitude above sea level (Feet) *

Ceiling Height (Feet) *

Electrical Service *

Longest distance from vacuum source to last hose connection (Feet) *

Material Information

Describe the material(s) to be collected with the vacuum system *

"X" All that apply concerning the material(s) collected *

Estimated volume of material to be collected *

Time Period *

Customer Request for Spencer Vacuum System Quotation