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Project Name :
Company Name :
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State :
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Phone :
XXX-XXX-XXXX
Fax :
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1. What is the amperage?
Amps
2. What voltage will be used?
[ Select One ]
120 Volts
208 Volts
240 Volts
277 Volts
480 Volts
3. Is it single or three phase?
[ Select One ]
Single Phase
Three Phase
4. Is it service entrance rated?
[ Select One ]
Yes
No
5. Does it require ground fault(480V/1000A)?
[ Select One ]
Yes
No
6. Top or Bottom feed?
[ Select One ]
Top
Bottom
Left or Right?
[ Select One ]
Left
Right
7. AL or CU bus material?
[ Select One ]
AL
CU
8. What is the Ampere Interrupt Rating (AIC Rating)?
9. Indoor or outdoor enclosure?
[ Select One ]
Indoor
Outdoor
10. Select One
[ Select One ]
Main Circuit Breaker
Main Fusible Switch
Solid State Breaker
Main Lug Only
11. Please use the space below to enter informaiton regarding Accessories on the Main such as
Blown Fuse Indication, Blown Fuse Protection, Phase Loss Protection, Metering, etc.
12. What type of Branch Devices are required?
[ Select One ]
Molded Case Breakers
Fusible Switches
Solid State Breakers
Vacu-breaks
13. Are Branch Devices Series Rated with the Main?
[ Select One ]
Yes
No
Please use the space below to enter any other informaiton that might help us with this quote.