Toll Free Phone # 1-800-496-7666 International Calls Phone # 1-303-371-0272 Fax # 1-303-371-0270
 
 
The Long Form

If you would like to request information on any of our products, please complete the Quick Quote form below. If you prefer, we also offer a short form.

Contact Information
Company Name:
(Required)
Contact Name:
(Required)
Address:
City:
State:
(Required)
Zip Code:
Zip Code:
(of ship to address)
Country:
Phone:*
Fax:
Email:
(Required)
*Phone calls will be made only when requested or when necessary to complete quote.

 

What type of process will go in the finished room?

 

Style of room (if known)

 

Nominal room size (ft.) (Required)
L: W: H:

 

Surrounding room size (ft.)
L: W: H:

 

Is seismic approval a requirement?
Yes
No

 

Gowning Room*
Inside
Outside
L: W:
*Please be sure to specify inside or outside gowning room.

 

Class

 

Number of HEPA filters (if left blank, we will set)

 

What type of power is available for lights and HEPA?
110
220
220 50 Hz
277

 

Project Time
Immediately
Within 4 Weeks
2-3 Months
Other*
*e.g. 1 year, budgetary

 

Would you like additional information on:
Furniture
Clothing and Supplies
Chairs
Clothing
Tables
Gloves
Racks
Tacky Mats
   
Wipes

 

Special Requirements
Any special requirements such as electrical, A/C, heating, static control (ESD), humidity, UV filtering, etc.?



 
 
 
 
 
 
   
   
 
1-800-496-7666 Toll Free U.S.A.
1-303-371-0272 International Calls
1-303-371-0270 Fax
   
Modular Cleanrooms Inc
3740 Paris Street
Denver, Colorado 80239
sales@modularcleanrooms.com  
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