• Customer Information

• Name *
• Customer Type
  Restaurant Equipment Dealer Refrigeration Service Company Contractor Restaurants Convience Stores Other
• Company Name *
• Address *
• City *
• State *
• Zip *
• Email *
• Phone * - (###) - ### ####
• Fax - (###) - ### ####

• Overall Product Selection

• Product(s)
  Cooler Only Freezer Only Combination
• Location
  Indoor Outdoor
• Roof Options
  Flat Membrane Roof Sloped Membrane Roof
• Quote Dimensions
  Custom Dimensions (1/2" increments) Superiors Standard Dimension
• Length
• Width
• Height

• Cooler Information

• Length
• Width
• Height
• Interior Metal Type
  Embossed Galvalume Embossed Aluminum Embossed White Galvanized Embossed White Aluminum Stainless Steel
• Exterior Metal Type
  Embossed Galvalume Embossed Aluminum Embossed White Galvanized Embossed White Aluminum Stainless Steel
• Interior Floor Insulation
  No Floor 4" Urethane w/ Smooth Alum. Floor 4" Urethane w/ Alum. Diamond Tread Floor
• Additional Options Strip Curtains Interior 36" High Kick Plate Exterior 36" High Kick Plate Exterior Ramp Interior Ramp
• # of Standard Superior Doors (34" x 78")
• # of Other Doors (Please include door sizes)
• # of Glass Doors
• Will Superior Supply Glass Doors?
  Yes No

• Cooler Refrigeration Requirements

• Accessories Outdoor Pre-Assembled Remote Top Mount Side Mount Quick Connect Indoor Pre-Assembled Remote 4 Yr. Extended Compressor Warranty
• Cond. Unit 203-230
  Single Phase Three Phase
• Refrigerant Type
  404a 22
• Compressor Preference
  Hermetric Scroll Semi-Hermetric
• Holding Temp. (+35 degrees default) (No Product Load)
• What temperature is the incoming product at?
• Incoming Product Type

• Freezer Information

• Width
• Length
• Height
• Interior Metal Type
  Embossed Galvalume Embossed Aluminum Embossed White Galvanized Embossed White Aluminum Stainless Steel
• Interior Floor Insulation
  4" Urethane w/ Smooth Alum. Decking 4" Urethane w/ Alum. Diamond Tread Decking
• Additional Options Strip Curtains Interior 36" High Kick Plate Exterior 36" High Kick Plate Exterior Ramp Interior Ramp
• # of Standard Superior Doors (34" x 78")
• # of Other Doors (Please include door sizes)
• # of Glass Doors
• Will Superior Supply Doors?
  Yes No

• Freezer Refrigeration Requirements

• Accessories Outdoor Pre-Assembled Remote Top Mount Side Mount Quick Connect Indoor Pre-Assembled Remote 4 Yr. Extended Compressor Warranty
• Cond. Unit 203-230
  Single Phase Three Phase
• Refrigerant Type
  404a
• Compressor Preference
  Hermetric Scroll Semi-Hermetric
• Holding Temp.
  0 degrees -10 degrees Other
• What temperature is the incoming product at?
• Incoming Product Type

• Delivery & Installation

• Delivery & Installation Options
  Quote Delivery & Installation Quote Glass Doors Installation Quote Delivery ONLY Ship by Common Carrier Customer Pick-Up
• Destination of Dilvery and/or Installation
• Preferred Freight Carrier
• Additional Comments