Quote Form Floor Warming Your Name : Architect Engineer Distributor Contractor Other Project Name : Company Name : Address : City : State : [ Select One ] Alabama Alaska Arizona Arkansas California Colorado Connecticut Delaware District of Columbia Florida Georgia Hawaii Idaho Illinois Indiana Iowa Kansas Kentucky Louisiana Maine Maryland Massachusetts Michigan Minnesota Mississippi Missouri Montana Nebraska Nevada New Hampshire New Jersey New Mexico New York North Carolina North Dakota Ohio Oklahoma Oregon Pennsylvania Rhode Island South Carolina South Dakota Tennessee Texas Utah Vermont Virginia Washington West Virginia Wisconsin Wyoming International Zip Code : Email : Phone : XXX-XXX-XXXX Fax : XXX-XXX-XXXX 1. What voltage will be used? [ Select One ] 120 Volts 208 Volts 240 Volts 2. What are the dimensions or square footage, of each room you plan to heat? Room Width Room Length Square Footage 3. Will you use this system as the primary or secondary heat source for the room? [ Select One ] Primary Secondary 4. Will you be installing any material between the setting bed and the floor covering? [ Select One ] Yes No 5. What surface will the cables lay on? 6. What type of floor finish will be used?   Ceramic tile    Concrete   Other 7. Will 10 lineal ft. of pigtail (cold lead) be enough to reach the thermostat on the wall? [ Select One ] Yes No 8. MI Cable can have custom lengths. Please use the space below to enter any other informaiton that might help us with this quote.