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Name:
Email Address:
Company:
Title:
Type of Business:
Address1:
Address2:
City:
State:
Country:
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Your Application:
Mode:
Model Interested In:
How often will tower be raised or lowered?:
Briefly describe tower operating environment:
Tower Height:
Payload (weight):
Payload (cross sectional area or wind sail):
Describe what is going on top and how it will be used:
Can guy-wires be used?:
Available input electrical power to operate the tower and customer equipment:




Is there a critical deflection requirement?:
List type, number and size of telecommunication cables:
Is a tower cabinet enclosure required?:
Is a shelter or large electrical cabinet required for customer equipment?:
If the application is lighting, describe the area to be lit in terms of shape (i.e. circle, rectangle, etc.) and approximate size. Also, the lighting intensity desired:
How many units required?:
Projected delivery date:
Other requirements: