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Online Contact Form
Online Quote Request Form
*
= indicates required info
Canopy Size:
*
Tee Size:
(optional)
Clearance:
*
Column Qty.
Special Design Loads:
*
Column Centers:
*
x
Type of construction:
New
Remodel
Repair
Brand Name:
-
Chevron
Circle K
Citgo
Coastal Mart
Conoco
Valero
Exxon
Fina
Mobil
Petro
Phillips
Shell
Texaco
Total Petroleum
Other
Unbranded
Column Footings:
by Others
Anchor Bolts:
by Jimco
by Others
Canopy Lighting:
Furnish and Install by Jimco
Furnish and Install by Others
Furnish only by Jimco
Install only by Jimco
(Note: All electrical by others)
Qty:
Special Items (Enter All That Apply)
Internal Drains:
-None-
3" PVC
4" PVC
in
Internal Electrical Conduit:
-None-
1"
3/4"
in
columns.
(Note: All electrical by others)
Column Cover:
Yes
No
Type
Add'l Building Fascia:
linear feet.
Note: A drawing is typically needed for an accurate proposal for building fascia and soffit
Soffit for Building:
square feet.
Are permit drawings required?
Yes
No
If yes, # of copies
Are you taxable?
Yes
No
If
non-taxable
, a copy of your exemption certificate is required after initial quote.
Enter below additional information if needed:
Billing and Shipping Information
Invoice to:
Company Name:
*
Address:
*
City:
*
State:
*
Zip:
*
Attention to:
*
Email:
Phone #:
*
Fax #:
Shipping Info:
Ship to:
*
Address:
*
City:
*
State:
*
Zip:
*
Security Code:
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