Special / Modified Quotation Request
Agent:   Contact:   Date:    
Distributor:   Location:   Contact:  
New Quote?   Expired Quote #:   Job Name:    
Detailed Enclosure Form
Total Quantity:     Qty. Per Release    
Enclosure Style:     (List Floormount, Wallmount, Freestanding, or product family SC, RSC, N4, SSN4, etc...)
Modified Special Size:     (List Heigth X Width X Depth)
Material:     (List type of material: carbon steel, 304ss, 316ss, galvanized, aluminum)
Nema/UL listing required:      
Sub panel Installed?   Sub Panel quoted Separate?  
Standard Finish?   Special Color: *RAL Number   
*All Wiegmann colors are powder finish and must be predetermined in RAL format before placing order. We cannot quote an enclosure in two or more colors
Target Pricing:    
Other business contingent on this quote?  
Past competition issues with this special/modified:    
Past quality issues with this special/modified:    
Drawing Name:     Drawing Rev:    
Attach Drawing:
Additional Notes: