Refrigerator Request for Quotation Form

Please complete this form to provide more information for your quotation.  Enter the code at the bottom and click submit to email your request directly to Innovative Solutions.  Thank You!

















TELL US HOW TO REACH YOU

First Name                  :

Last Name                  :

Email                           :

Phone                          :

Institution/Company     :  


TELL US A LITTLE MORE ABOUT YOUR APPLICATION


  Chromatography

  Laboratory
  Pharmacy
  Saftey
  Vaccine / Constant Temp


Temp range                                                 : C F

Size of Refrigerator needed                        : ft3

What will you be storing                              :

How many Ports will you need                    :

How many electrical outlets will you need   :

Do you need Casters (wheels)?

  Yes
  No

What type of doors would you prefer?

Gliding Doors
Swinging Hinged Doors

Use this space to tell us anything else about your application, or to ask questions.  Remember to enter the code at the bottom of the form and to click the submit button to send your request.  Thank You!

 




Please enter the following code into the box provided: