Project Quotation
Contact Information:
Company Name:
Contact Name:
Street Address:
PO Box:
City:
State:
Zip:
Country:
Phone:
Fax:
E-mail:
Profession:
Select Architect CommercialEndUser Contractor DepartmentofTransportation Developer Engineer LightingConsultantDesigner PurchasingAgent ResidentialEndUser Utility Other
* Fields in BOLD are required.
Project Quotation Information:
Project Name:
Poles (general information):
Number of poles:
Pole height:
Wind Load (80, 90 or 100 MPH):
Options: Lighting Poles
Type of arm needed:
Type of base required:
Options: Floodlighting Poles
Service Basket Type:
High Mast Lowering System:
Yes No
Luminaire Brackets:
Cross-Arms:
Steps:
Climber Assembly:
Type of Base:
Select AnchorBase EnclosedHBase
Pole Finish:
Weathering Steel Galvanized Factory Finish Paint Coat Prime Coat
Luminaires:
Type of Fixture:
Manufacturer of Fixture:
Mfg. Part Number:
EPA of Fixture:
Number of Fixtures:
Weight of Fixtures:
Additional Comments:
Comments:
Note: Send drawings or specifications, if available, to:
Millerbernd Manufacturing Company 622 6th Street South, P.O. Box 98 Winsted, Minnesota 55395 dclark@millerberndmfg.com
Millerbernd Manufacturing Company 622 6th Street South, P.O. Box 98 Winsted, Minnesota 55395 dclark@millerberndmfg.com Phone: (320) 485-2111 Fax: (320) 485-4420