Company Name

Customer Name

Customer Address
Street:

City:

Postal Code/Zip Code:

Province/State:

Postal Code/Zip Code:

Country:

Phone

Fax

Email
 CHECK PRODUCTS REQUESTED
(Dimensions = Inches)
Rigid Ready Aluminum (estimated dims)
L= W= H=
Roto-Molded Rack Mount Model#
Road Case Series Laminated Case
       (Size Requested):

L= W= H=
Storm Case / Pelican: Model #
Other (Description)
 APPLICATION SPECIFICS (Items For
Case/Enclosure)
Equipment Size (Inches)
L= W= H= Weight = lbs.
L= W= H= Weight = lbs.
L= W= H= Weight = lbs.

(If Rack Mount/Std. 19.00" EIA)
AMOUNT OF RACK UNITS (RU)
HIGH DEEP Weight lbs.





Thank You For Your Consideration
COPYRIGHT 2008 National Case Co., Inc.      DESIGN & HOSTING BY ICM CONSULTING CORP.