QUOTATION REQUEST

There are several options to request a quote for either an AC or DC system.

We encourage you to contact ELTEC’s Dealer for your area. Click here for our Dealer listing.

To submit a request for a quote, please fill out the form below. Answering as many questions as possible will expedite our ability to respond quickly.

Should you require a different or unique application, please give us a call and we’ll be glad to help in designing your system.

You may contact us at 800-227-1734 or 903-938-1901 to discuss your AC/DC requirements.

If you prefer to FAX your quote, click here.

AC & DC SYSTEM QUOTE WORKSHEET

Type of system:
If other, please describe:

LED/light color

LED size: (There is no price difference.)

Number of LED's per pole
If other, please describe:

What is the largest city closest to the installation?

In which city will the unit actually be installed?

Hours of operation per day? (DC solar question only—not applicable for AC)

Pole assembly* required?

* Our standard pole assembly includes a 4 � inch OD x 15 feet high, schedule 40 aluminum pole with acorn cap, a breakaway base and pole collar for added strength. If a different height is required, please specify in the area below.

Comments:

Pole Type:

If the cabinet is to be mounted on a wooden pole, please tell us.

System loads: Additional unique equipment such as an ITS device, camera, radio modem, etc.

Device	Manufacturer and Part #	Load (Watts)

Comments:

CONTACT INFORMATION

First Name*:

Last Name*:

Title:

Company:

E-mail*:

Address*:

City*:

State/Prov*:

Country:

Zip/Post. code*:

Phone*:

Fax: