Preliminary Quote Form
ETC Emergency Telephone Cabinet
            800-486-1723   Fax: 508-485-4740

Complete this form to receive your FREE Custom Quote.

1QUANTITY               
          Quote for unit(s).

Determine the quantity of Emergency Telephone Cabinet(s) that are needed for your facility(s). This assumes all ETCs needed will be of the same configuration (see Step 2 for available options). If you are in need of different ETC configurations, please submit separate quotes for an accurate determination of your product needs.

 



Each cabinet can be custom assembled as required
based on standard features.



CONFIGURATION Determine the configuration details for your ETC emergency telephone Cabinet that is needed.

Back Box, Flange, Replacement Glass Kit
   Flange Detail
ETC cabinet surface/flush RED back box
ETC 1" extension flange retro/cover ring
ETC replacement glass kit
 Code A   Model ETC phone handset and cord specifications
  AX ETC Armored cord/Std handset Red
  AP ETC Armored cord/ Push to Talk Red handset
  AV ETC Armored cord/ Volume control Red handset
  CX ETC Coil cord/Std handset Red
  CP ETC Coil cord/ Push to Talk Red handset
  CV ETC Coil cord/ Volume control Red handset
 
 Code B   Model ETC cover option and Screen image configuration
  FW Fire Warden Cover magnet latch w/Handle
  BG ETC Break Glass with Key Lock Access
  SL ETC Solid door with Key Lock Access
  MD ETC Solid Door Magnet latch w/Handle
 
 Code C   Model Key Lock assembly selection
  C Lock Assembly CAT -30 (Simplex B key)
  P Lock Assembly PK-625
  T Lock Assembly T45 (Siemens)
  Z Custom lock specified by customer
 
 Code D   Model ETC break glass image/message options
  S Standard image instructions
  Z Custom specified message and instructions
  X No glass installed in ETC assembly


Additional Comments:


 
Customer Information

 
  Yes, I am a Registered Business Partner
 
 
     Registered Business Partners need only provide the following:   Am I a Registered Business Partner?
 
Business Partner #:    Forgot your BP#?
*e-mail address:  

 

Skip to final step
*This should be the e-mail address you registered with. Not Sure?
   
  No, I am not a Registered Business Partner           
 
            
     Non-Registered Business Partner customers please provide the following:  
  First Name:
  Last Name:
  Company:
  Address:
  Address (additional):
  City:
  State:
  Zip:
  Country:
  e-mail:
  Phone: (format: 123-456-7890)
  Fax: (format: 123-456-7890)
  Customer ID:
     
     
 

How would you like us to contact you?
Phone e-mail Mail


Your requested Quote will be processed in about 24 hours.
Quotes submitted late on a Friday or during a weekend or holidays may take a bit longer.

     

     


Or Print and fax this form to Space Age Electronics,
using the fax number provided above.


 
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