Please fax your scaled drawing, blue prints, or fire evacuation drawings with dimensions to (949) 542-7996.

Project Name

Has a Site Survey/Walk been completed

Is this a proposed system or for budgetary purposes?

Proposed budget amount

Projected Location (Zip Code)

Type of building structure

Ceiling Type

Please describe ceiling construction

Height of the ceiling equipment, racking and/or other obstructions

Coverage Desired

Please list areas needing enhancement

Is plenum cable required by code

Number of floors requiring coverage

Proposed equipment room location:

Location of vertical chases (Access to other floors)

Preferred Vendor

Please fill in all applicable carrier names
Nextel/iDEN			Rooftop (Donor) Signal Strength
Cellular 800MHz Carrier Name			PCS 1900MHz Carrier Name

Additional Information