Curb Adapter Quote

(NOTE:  If you are a contractor, please contact your local air conditioning distributor)

Your Name:

 

Company:

 

Company Address:

 

Your E-mail Address:

 

Your Phone Number:

 

Your Fax Number:

 

*Ship To (City, State, Zip):

 

Job Name (Optional)

 

How would you like us to send your quote? E-Mail     Fax

* CURBCO can now prepay and add freight charges.  Click here for more information. For freight quoting purposes - please enter an accurate quantity below.

 

Qty.

Old Unit Manufacturer

Old Unit

Model Number

New Unit Manufacturer

New Unit

Model Number

 

Additional Comments/Information: