ACOUSTICAL WALL PANEL ABSORBER QUOTATION REQUEST FORM

DATE:______________YOUR NAME:__________________________________________________

COMPANY NAME:_____________________________ADDRESS:___________________________

TELEPHONE:_________________________________FAX:________________________________

PROJECT:________________________________________________________________________

SHIP TO CITY/STATE: ____________________________PROJECTED SHIP DATE:___________

SUBSTRATE, GLASS FIBERBOARD THICKNESS (CIRCLE ONE) 1" 1½" 2" 3"

OPTIONS:
Basic Acoustical Panels: YES____________ NO__________
Impact Resistant Panels: YES____________ NO__________
Resilient™ Acoustical Panels: YES____________ NO__________
Ultra Resistant Panels: YES____________ NO__________
Other:____________________________________________

MOUNTING: (CIRCLE ONE) -----IMPALING CLIPS & ADHESIVE-----"Z" CLIPS-------NONE

FINISH: MANUFACTURES STANDARD WOVEN POLYESTER FABRIC FABRIC OPTIONS (OR)

....OTHER: MFG____________________ STYLE #:____________ COLOR #:___________

PANEL SIZES & QUANTITIES: REFER TO ABSORBER PRODUCT LIST

QUANTITY	THICKNESS	.WIDTH.	HEIGHT	NOTES

PLEASE COMPLETE THIS FORM AND FAX TO 512/259-5850. YOUR QUOTATION WILL BE FAXED TO YOUR LISTED FAX NUMBER. IF YOU HAVE ANY QUESTIONS PLEASE FEEL FREE TO CALL US AT 512/259-5858.

Acoustical Resources, Inc., PO Box 200504, Austin, TX 78720-0504