{"id":43,"date":"2016-01-15T19:04:33","date_gmt":"2016-01-15T19:04:33","guid":{"rendered":"http:\/\/thermalgas.com\/wp\/?page_id=43"},"modified":"2020-03-09T16:19:27","modified_gmt":"2020-03-09T16:19:27","slug":"price-quote-request","status":"publish","type":"page","link":"https:\/\/siteviews.biz\/thermalgas\/price-quote-request\/","title":{"rendered":"Price Quote Request"},"content":{"rendered":"\n[et_pb_section][et_pb_row][et_pb_column type=&#8221;4_4&#8243;][et_pb_text]<h4>Complete the form below and a Thermal Gas representative will contact your shortly regarding your request.<\/h4>\n<div role=\"form\" class=\"wpcf7\" id=\"wpcf7-f333-o1\" lang=\"en-US\" dir=\"ltr\">\n<div class=\"screen-reader-response\"><p role=\"status\" aria-live=\"polite\" aria-atomic=\"true\"><\/p> <ul><\/ul><\/div>\n<form action=\"\/thermalgas\/wp-json\/wp\/v2\/pages\/43#wpcf7-f333-o1\" method=\"post\" class=\"wpcf7-form init\" novalidate=\"novalidate\" data-status=\"init\">\n<div style=\"display: none;\">\n<input type=\"hidden\" name=\"_wpcf7\" value=\"333\" \/>\n<input type=\"hidden\" name=\"_wpcf7_version\" value=\"5.6.4\" \/>\n<input type=\"hidden\" name=\"_wpcf7_locale\" value=\"en_US\" \/>\n<input type=\"hidden\" name=\"_wpcf7_unit_tag\" value=\"wpcf7-f333-o1\" \/>\n<input type=\"hidden\" name=\"_wpcf7_container_post\" value=\"0\" \/>\n<input type=\"hidden\" name=\"_wpcf7_posted_data_hash\" value=\"\" \/>\n<\/div>\n<p>Don't feel like typing? Give us a call. We will be happy to help you! (800) 896-2996. We operate on extended business hours on US eastern time schedules.<\/p>\n<p><i>If you have a written specification or drawings, please e-mail to info@thermalgas.com or FAX to <b>(770) 667-3857<\/b>. Otherwise, please complete the following information and submit.<\/i> <\/p>\n<p>Your information will not be shared with, or sold to, any entity.<\/p>\n<table border=\"0\" cellpadding=\"10\" cellspacing=\"0\" style=\"width:95%; margin:auto; background-color:#fff;\">\n<tr>\n<td rowspan=\"4\" valign=\"top\" bgcolor=\"#94d2f8\" style=\"width:13%;\"><b>Contact Information<\/b><\/td>\n<td style=\"width:20%;\">Title<\/td>\n<td><span class=\"wpcf7-form-control-wrap\" data-name=\"Title\"><input type=\"text\" name=\"Title\" value=\"\" size=\"40\" class=\"wpcf7-form-control wpcf7-text\" aria-invalid=\"false\" \/><\/span><\/td>\n<\/tr>\n<tr>\n<td>First Name<\/td>\n<td><span class=\"wpcf7-form-control-wrap\" data-name=\"FirstName\"><input type=\"text\" name=\"FirstName\" value=\"\" size=\"40\" class=\"wpcf7-form-control wpcf7-text wpcf7-validates-as-required\" aria-required=\"true\" aria-invalid=\"false\" \/><\/span><\/td>\n<\/tr>\n<tr>\n<td>Last Name<\/td>\n<td><span class=\"wpcf7-form-control-wrap\" data-name=\"LastName\"><input type=\"text\" name=\"LastName\" value=\"\" size=\"40\" class=\"wpcf7-form-control wpcf7-text wpcf7-validates-as-required\" aria-required=\"true\" aria-invalid=\"false\" \/><\/span><\/td>\n<\/tr>\n<tr>\n<td>E-mail<\/td>\n<td><span class=\"wpcf7-form-control-wrap\" data-name=\"your-email\"><input type=\"email\" name=\"your-email\" value=\"\" size=\"40\" class=\"wpcf7-form-control wpcf7-text wpcf7-email wpcf7-validates-as-required wpcf7-validates-as-email\" aria-required=\"true\" aria-invalid=\"false\" \/><\/span><\/td>\n<\/tr>\n<tr>\n<td rowspan=\"7\" valign=\"top\" bgcolor=\"#94d2f8\"><b>Business Information<\/b><\/td>\n<td>Business Name<\/td>\n<td><span class=\"wpcf7-form-control-wrap\" data-name=\"BusinessName\"><input type=\"text\" name=\"BusinessName\" value=\"\" size=\"40\" class=\"wpcf7-form-control wpcf7-text\" aria-invalid=\"false\" \/><\/span><\/td>\n<\/tr>\n<tr>\n<td>Street<\/td>\n<td><span class=\"wpcf7-form-control-wrap\" data-name=\"StreetAddress\"><input type=\"text\" name=\"StreetAddress\" value=\"\" size=\"40\" class=\"wpcf7-form-control wpcf7-text\" aria-invalid=\"false\" \/><\/span><\/td>\n<\/tr>\n<tr>\n<td>City<\/td>\n<td><span class=\"wpcf7-form-control-wrap\" data-name=\"City\"><input type=\"text\" name=\"City\" value=\"\" size=\"40\" class=\"wpcf7-form-control wpcf7-text\" aria-invalid=\"false\" \/><\/span><\/td>\n<\/tr>\n<tr>\n<td>State<\/td>\n<td><span class=\"wpcf7-form-control-wrap\" data-name=\"State\"><input type=\"text\" name=\"State\" value=\"\" size=\"40\" class=\"wpcf7-form-control wpcf7-text\" aria-invalid=\"false\" \/><\/span><\/td>\n<\/tr>\n<tr>\n<td> ZIP Code<\/td>\n<td><span class=\"wpcf7-form-control-wrap\" data-name=\"ZipCode\"><input type=\"text\" name=\"ZipCode\" value=\"\" size=\"40\" class=\"wpcf7-form-control wpcf7-text\" aria-invalid=\"false\" \/><\/span><\/td>\n<\/tr>\n<tr>\n<td>Telephone<\/td>\n<td><span class=\"wpcf7-form-control-wrap\" data-name=\"TelephoneNumber\"><input type=\"tel\" name=\"TelephoneNumber\" value=\"\" size=\"40\" class=\"wpcf7-form-control wpcf7-text wpcf7-tel wpcf7-validates-as-tel\" aria-invalid=\"false\" \/><\/span><\/td>\n<\/tr>\n<tr>\n<td>Fax<\/td>\n<td><span class=\"wpcf7-form-control-wrap\" data-name=\"FaxNumber\"><input type=\"tel\" name=\"FaxNumber\" value=\"\" size=\"40\" class=\"wpcf7-form-control wpcf7-text wpcf7-tel wpcf7-validates-as-tel\" aria-invalid=\"false\" \/><\/span><\/td>\n<\/tr>\n<tr>\n<td rowspan=\"3\" valign=\"top\" bgcolor=\"#94d2f8\"><b>Project Information<\/b><\/td>\n<td>Location \/ Project Name<\/td>\n<td><span class=\"wpcf7-form-control-wrap\" data-name=\"ProjectName\"><input type=\"text\" name=\"ProjectName\" value=\"\" size=\"40\" class=\"wpcf7-form-control wpcf7-text\" aria-invalid=\"false\" \/><\/span><\/td>\n<\/tr>\n<tr>\n<td>Project Bid Date<\/td>\n<td><span class=\"wpcf7-form-control-wrap\" data-name=\"ProjectBidDate\"><input type=\"date\" name=\"ProjectBidDate\" value=\"\" class=\"wpcf7-form-control wpcf7-date wpcf7-validates-as-date\" aria-invalid=\"false\" \/><\/span><\/td>\n<\/tr>\n<tr>\n<td>Projected Installation Date<\/td>\n<td><span class=\"wpcf7-form-control-wrap\" data-name=\"ProjectedInstallationDate\"><input type=\"date\" name=\"ProjectedInstallationDate\" value=\"\" class=\"wpcf7-form-control wpcf7-date wpcf7-validates-as-date\" aria-invalid=\"false\" \/><\/span><\/td>\n<\/tr>\n<tr>\n<td valign=\"top\" rowspan=\"8\" bgcolor=\"#94d2f8\"><b>Project Determination Criteria<\/b><\/td>\n<td valign=\"top\">What refrigerant gases are to be monitored?<\/td>\n<td valign=\"top\" ><span class=\"wpcf7-form-control-wrap\" data-name=\"gasesToBeMonitored\"><span class=\"wpcf7-form-control wpcf7-checkbox\"><span class=\"wpcf7-list-item first\"><label><input type=\"checkbox\" name=\"gasesToBeMonitored[]\" value=\"R-11\" \/><span class=\"wpcf7-list-item-label\">R-11<\/span><\/label><\/span><span class=\"wpcf7-list-item\"><label><input type=\"checkbox\" name=\"gasesToBeMonitored[]\" value=\"R-12\" \/><span class=\"wpcf7-list-item-label\">R-12<\/span><\/label><\/span><span class=\"wpcf7-list-item\"><label><input type=\"checkbox\" name=\"gasesToBeMonitored[]\" value=\"R-22\" \/><span class=\"wpcf7-list-item-label\">R-22<\/span><\/label><\/span><span class=\"wpcf7-list-item\"><label><input type=\"checkbox\" name=\"gasesToBeMonitored[]\" value=\"R-23\" \/><span class=\"wpcf7-list-item-label\">R-23<\/span><\/label><\/span><span class=\"wpcf7-list-item\"><label><input type=\"checkbox\" name=\"gasesToBeMonitored[]\" value=\"R-123\" \/><span class=\"wpcf7-list-item-label\">R-123<\/span><\/label><\/span><span class=\"wpcf7-list-item\"><label><input type=\"checkbox\" name=\"gasesToBeMonitored[]\" value=\"R-134a\" \/><span class=\"wpcf7-list-item-label\">R-134a<\/span><\/label><\/span><span class=\"wpcf7-list-item\"><label><input type=\"checkbox\" name=\"gasesToBeMonitored[]\" value=\"R-141b\" \/><span class=\"wpcf7-list-item-label\">R-141b<\/span><\/label><\/span><span class=\"wpcf7-list-item\"><label><input type=\"checkbox\" name=\"gasesToBeMonitored[]\" value=\"R-507a\" \/><span class=\"wpcf7-list-item-label\">R-507a<\/span><\/label><\/span><span class=\"wpcf7-list-item last\"><label><input type=\"checkbox\" name=\"gasesToBeMonitored[]\" value=\"R-717\" \/><span class=\"wpcf7-list-item-label\">R-717<\/span><\/label><\/span><\/span><\/span><\/td>\n<\/tr>\n<tr>\n<td> Other Gases?<\/td>\n<td><span class=\"wpcf7-form-control-wrap\" data-name=\"OtherGases\"><input type=\"text\" name=\"OtherGases\" value=\"\" size=\"40\" class=\"wpcf7-form-control wpcf7-text\" aria-invalid=\"false\" \/><\/span><\/td>\n<\/tr>\n<tr>\n<td valign=\"top\">Are possible contaminants nearby? (i.e. cleaning fluids, ammonia or other hydrogen or chlorine sources)<\/td>\n<td valign=\"top\" ><span class=\"wpcf7-form-control-wrap\" data-name=\"ArePossibleContaminantsNearBy\"><span class=\"wpcf7-form-control wpcf7-radio\"><span class=\"wpcf7-list-item first\"><label><input type=\"radio\" name=\"ArePossibleContaminantsNearBy\" value=\"Yes\" \/><span class=\"wpcf7-list-item-label\">Yes<\/span><\/label><\/span><span class=\"wpcf7-list-item last\"><label><input type=\"radio\" name=\"ArePossibleContaminantsNearBy\" value=\"No\" \/><span class=\"wpcf7-list-item-label\">No<\/span><\/label><\/span><\/span><\/span><\/td>\n<\/tr>\n<tr>\n<td valign=\"top\" >Number of chillers?<\/td>\n<td valign=\"top\" ><span class=\"wpcf7-form-control-wrap\" data-name=\"NumberOfChillers\"><input type=\"number\" name=\"NumberOfChillers\" value=\"0\" class=\"wpcf7-form-control wpcf7-number wpcf7-validates-as-number\" aria-invalid=\"false\" \/><\/span><\/td>\n<\/tr>\n<tr>\n<td valign=\"top\">Distance between chillers?<\/td>\n<td valign=\"top\" ><span class=\"wpcf7-form-control-wrap\" data-name=\"DistanceBetweenChillers\"><input type=\"text\" name=\"DistanceBetweenChillers\" value=\"\" size=\"40\" class=\"wpcf7-form-control wpcf7-text\" aria-invalid=\"false\" \/><\/span><\/td>\n<\/tr>\n<tr>\n<td valign=\"top\">Size of room?<\/td>\n<td valign=\"top\" ><span class=\"wpcf7-form-control-wrap\" data-name=\"SizeOfRoom\"><input type=\"text\" name=\"SizeOfRoom\" value=\"\" size=\"40\" class=\"wpcf7-form-control wpcf7-text\" aria-invalid=\"false\" \/><\/span><\/td>\n<\/tr>\n<tr>\n<td valign=\"top\">Number of Sensing Points<\/td>\n<td valign=\"top\"><span class=\"wpcf7-form-control-wrap\" data-name=\"NumberOfSensingPoints\"><input type=\"number\" name=\"NumberOfSensingPoints\" value=\"0\" class=\"wpcf7-form-control wpcf7-number wpcf7-validates-as-number\" min=\"0\" max=\"24\" aria-invalid=\"false\" \/><\/span><\/td>\n<\/tr>\n<tr>\n<td valign=\"top\">Number of points of egress (man-doors) from mechanical room?<\/td>\n<td valign=\"middle\"><span class=\"wpcf7-form-control-wrap\" data-name=\"NumberOfMechanicalRoomEntrances\"><input type=\"number\" name=\"NumberOfMechanicalRoomEntrances\" value=\"0\" class=\"wpcf7-form-control wpcf7-number wpcf7-validates-as-number\" aria-invalid=\"false\" \/><\/span><\/td>\n<\/tr>\n<tr>\n<td valign=\"top\" bgcolor=\"#94d2f8\"><b>Options Desired<\/b><\/td>\n<td valign=\"top\">Check all that apply.\n<p>If replacing an existing system, check only new items needed or those to be replaced.<\/p>\n<\/td>\n<td valign=\"top\"><span class=\"wpcf7-form-control-wrap\" data-name=\"OptionsDesired\"><span class=\"wpcf7-form-control wpcf7-checkbox\"><span class=\"wpcf7-list-item first\"><label><input type=\"checkbox\" name=\"OptionsDesired[]\" value=\"Local Horn\" \/><span class=\"wpcf7-list-item-label\">Local Horn<\/span><\/label><\/span><span class=\"wpcf7-list-item\"><label><input type=\"checkbox\" name=\"OptionsDesired[]\" value=\"Local Strobe\" \/><span class=\"wpcf7-list-item-label\">Local Strobe<\/span><\/label><\/span><span class=\"wpcf7-list-item\"><label><input type=\"checkbox\" name=\"OptionsDesired[]\" value=\"Remote Display Panel\" \/><span class=\"wpcf7-list-item-label\">Remote Display Panel<\/span><\/label><\/span><span class=\"wpcf7-list-item\"><label><input type=\"checkbox\" name=\"OptionsDesired[]\" value=\"Remote Horn\/Strobe Combo\" \/><span class=\"wpcf7-list-item-label\">Remote Horn\/Strobe Combo<\/span><\/label><\/span><span class=\"wpcf7-list-item\"><label><input type=\"checkbox\" name=\"OptionsDesired[]\" value=\"Emergency Power Shut-Off Switch\" \/><span class=\"wpcf7-list-item-label\">Emergency Power Shut-Off Switch<\/span><\/label><\/span><span class=\"wpcf7-list-item\"><label><input type=\"checkbox\" name=\"OptionsDesired[]\" value=\"Emergency Ventilation Switch\" \/><span class=\"wpcf7-list-item-label\">Emergency Ventilation Switch<\/span><\/label><\/span><span class=\"wpcf7-list-item\"><label><input type=\"checkbox\" name=\"OptionsDesired[]\" value=\"Battery Backup\" \/><span class=\"wpcf7-list-item-label\">Battery Backup<\/span><\/label><\/span><span class=\"wpcf7-list-item\"><label><input type=\"checkbox\" name=\"OptionsDesired[]\" value=\"Calibration Kit\" \/><span class=\"wpcf7-list-item-label\">Calibration Kit<\/span><\/label><\/span><span class=\"wpcf7-list-item\"><label><input type=\"checkbox\" name=\"OptionsDesired[]\" value=\"Analog Output for BMS Connection\" \/><span class=\"wpcf7-list-item-label\">Analog Output for BMS Connection<\/span><\/label><\/span><span class=\"wpcf7-list-item last\"><label><input type=\"checkbox\" name=\"OptionsDesired[]\" value=\"SCBA &amp; Wall Case\" \/><span class=\"wpcf7-list-item-label\">SCBA &amp; Wall Case<\/span><\/label><\/span><\/span><\/span><\/p>\n<table border=\"0\" cellpadding=\"4\" cellspacing=\"0\">\n<tr>\n<td style=\"border:none;\">Remote Horn\/Strobe Combo Quantity:<\/td>\n<td style=\"border:none;\"><span class=\"wpcf7-form-control-wrap\" data-name=\"RemoteHornStrobeComboQty\"><input type=\"number\" name=\"RemoteHornStrobeComboQty\" value=\"0\" class=\"wpcf7-form-control wpcf7-number wpcf7-validates-as-number\" aria-invalid=\"false\" \/><\/span><\/td>\n<\/tr>\n<tr>\n<td style=\"border:none;\">Emergency Power Shut-Off Switch Quantity:<\/td>\n<td style=\"border:none;\"><span class=\"wpcf7-form-control-wrap\" data-name=\"EmergencyPowerShutOffSwitchQty\"><input type=\"number\" name=\"EmergencyPowerShutOffSwitchQty\" value=\"0\" class=\"wpcf7-form-control wpcf7-number wpcf7-validates-as-number\" aria-invalid=\"false\" \/><\/span><\/td>\n<\/tr>\n<tr>\n<td style=\"border:none;\">Emergency Ventilation Switch Quantity:<\/td>\n<td style=\"border:none;\"><span class=\"wpcf7-form-control-wrap\" data-name=\"EmergencyVentilationSwitchQty\"><input type=\"number\" name=\"EmergencyVentilationSwitchQty\" value=\"0\" class=\"wpcf7-form-control wpcf7-number wpcf7-validates-as-number\" aria-invalid=\"false\" \/><\/span><\/td>\n<\/tr>\n<tr>\n<td style=\"border:none;\">SCBA & Wall Case Quantity:<\/td>\n<td style=\"border:none;\"><span class=\"wpcf7-form-control-wrap\" data-name=\"SCBAWallCaseQty\"><input type=\"number\" name=\"SCBAWallCaseQty\" value=\"0\" class=\"wpcf7-form-control wpcf7-number wpcf7-validates-as-number\" aria-invalid=\"false\" \/><\/span><\/td>\n<\/tr>\n<tr>\n<td style=\"border:none;\">Other Safety Switch Requirements:<\/td>\n<td style=\"border:none;\"><span class=\"wpcf7-form-control-wrap\" data-name=\"OtherSafetySwitchRequirements\"><input type=\"text\" name=\"OtherSafetySwitchRequirements\" value=\"\" size=\"40\" class=\"wpcf7-form-control wpcf7-text\" aria-invalid=\"false\" \/><\/span><\/td>\n<\/tr>\n<\/table>\n<\/td>\n<\/tr>\n<tr>\n<td valign=\"top\" bgcolor=\"#94d2f8\"><b>Comments<\/b>\n        <\/td>\n<td valign=\"top\">Please include any additional information you believe relevant<\/td>\n<td valign=\"top\"><span class=\"wpcf7-form-control-wrap\" data-name=\"Comments\"><textarea name=\"Comments\" cols=\"40\" rows=\"10\" class=\"wpcf7-form-control wpcf7-textarea\" aria-invalid=\"false\"><\/textarea><\/span><\/td>\n<\/tr>\n<tr>\n<td colspan=\"3\" style=\"text-align:center; border:none;\"><input type=\"submit\" value=\"Send\" class=\"wpcf7-form-control has-spinner wpcf7-submit\" \/><\/td>\n<\/tr>\n<\/table>\n<div class=\"wpcf7-response-output\" aria-hidden=\"true\"><\/div><\/form><\/div>[\/et_pb_text][\/et_pb_column][\/et_pb_row][\/et_pb_section]\n","protected":false},"excerpt":{"rendered":"<p><div class=\"et_pb_section et_pb_section_0 et_section_regular\" >\n\t\t\t\t\n\t\t\t\t\n\t\t\t\t\n\t\t\t\t\n\t\t\t\t\n\t\t\t\t\n\t\t\t\t\n\t\t\t\t\n\t\t\t\t\n\t\t\t<\/div><div class=\"et_pb_row et_pb_row_0 et_pb_row_empty\">\n\t\t\t\t\n\t\t\t\t\n\t\t\t\t\n\t\t\t\t\n\t\t\t\t\n\t\t\t<\/div><div class=\"et_pb_module et_pb_text et_pb_text_0  et_pb_text_align_left et_pb_bg_layout_light\">\n\t\t\t\t\n\t\t\t\t\n\t\t\t\t\n\t\t\t\t\n\t\t\t\t\n\t\t\t<\/div>Complete the form below and a Thermal Gas representative will contact your shortly regarding your request. <div role=\"form\" class=\"wpcf7\" id=\"wpcf7-f333-o2\" lang=\"en-US\" dir=\"ltr\">\n<div class=\"screen-reader-response\"><p role=\"status\" aria-live=\"polite\" aria-atomic=\"true\"><\/p> <ul><\/ul><\/div>\n<form action=\"\/thermalgas\/wp-json\/wp\/v2\/pages\/43#wpcf7-f333-o2\" method=\"post\" class=\"wpcf7-form init\" novalidate=\"novalidate\" data-status=\"init\">\n<div style=\"display: none;\">\n<input type=\"hidden\" name=\"_wpcf7\" value=\"333\" \/>\n<input type=\"hidden\" name=\"_wpcf7_version\" value=\"5.6.4\" \/>\n<input type=\"hidden\" name=\"_wpcf7_locale\" value=\"en_US\" \/>\n<input type=\"hidden\" name=\"_wpcf7_unit_tag\" value=\"wpcf7-f333-o2\" \/>\n<input type=\"hidden\" name=\"_wpcf7_container_post\" value=\"0\" \/>\n<input type=\"hidden\" name=\"_wpcf7_posted_data_hash\" value=\"\" \/>\n<\/div>\n<p>Don't feel like typing? Give us a call. We will be happy to help you! (800) 896-2996. We operate on extended business hours on US eastern time schedules.<\/p>\n<p><i>If you have a written specification or drawings, please e-mail to info@thermalgas.com or FAX to <b>(770) 667-3857<\/b>. Otherwise, please complete the following information and submit.<\/i> <\/p>\n<p>Your information will not be shared with, or sold to, any entity.<\/p>\n<table border=\"0\" cellpadding=\"10\" cellspacing=\"0\" style=\"width:95%; margin:auto; background-color:#fff;\">\n<tr>\n<td rowspan=\"4\" valign=\"top\" bgcolor=\"#94d2f8\" style=\"width:13%;\"><b>Contact Information<\/b><\/td>\n<td style=\"width:20%;\">Title<\/td>\n<td><span class=\"wpcf7-form-control-wrap\" data-name=\"Title\"><input type=\"text\" name=\"Title\" value=\"\" size=\"40\" class=\"wpcf7-form-control wpcf7-text\" aria-invalid=\"false\" \/><\/span><\/td>\n<\/tr>\n<tr>\n<td>First Name<\/td>\n<td><span class=\"wpcf7-form-control-wrap\" data-name=\"FirstName\"><input type=\"text\" name=\"FirstName\" value=\"\" size=\"40\" class=\"wpcf7-form-control wpcf7-text wpcf7-validates-as-required\" aria-required=\"true\" aria-invalid=\"false\" \/><\/span><\/td>\n<\/tr>\n<tr>\n<td>Last Name<\/td>\n<td><span class=\"wpcf7-form-control-wrap\" data-name=\"LastName\"><input type=\"text\" name=\"LastName\" value=\"\" size=\"40\" class=\"wpcf7-form-control wpcf7-text wpcf7-validates-as-required\" aria-required=\"true\" aria-invalid=\"false\" \/><\/span><\/td>\n<\/tr>\n<tr>\n<td>E-mail<\/td>\n<td><span class=\"wpcf7-form-control-wrap\" data-name=\"your-email\"><input type=\"email\" name=\"your-email\" value=\"\" size=\"40\" class=\"wpcf7-form-control wpcf7-text wpcf7-email wpcf7-validates-as-required wpcf7-validates-as-email\" aria-required=\"true\" aria-invalid=\"false\" \/><\/span><\/td>\n<\/tr>\n<tr>\n<td rowspan=\"7\" valign=\"top\" bgcolor=\"#94d2f8\"><b>Business Information<\/b><\/td>\n<td>Business Name<\/td>\n<td><span class=\"wpcf7-form-control-wrap\" data-name=\"BusinessName\"><input type=\"text\" name=\"BusinessName\" value=\"\" size=\"40\" class=\"wpcf7-form-control wpcf7-text\" aria-invalid=\"false\" \/><\/span><\/td>\n<\/tr>\n<tr>\n<td>Street<\/td>\n<td><span class=\"wpcf7-form-control-wrap\" data-name=\"StreetAddress\"><input type=\"text\" name=\"StreetAddress\" value=\"\" size=\"40\" class=\"wpcf7-form-control wpcf7-text\" aria-invalid=\"false\" \/><\/span><\/td>\n<\/tr>\n<tr>\n<td>City<\/td>\n<td><span class=\"wpcf7-form-control-wrap\" data-name=\"City\"><input type=\"text\" name=\"City\" value=\"\" size=\"40\" class=\"wpcf7-form-control wpcf7-text\" aria-invalid=\"false\" \/><\/span><\/td>\n<\/tr>\n<tr>\n<td>State<\/td>\n<td><span class=\"wpcf7-form-control-wrap\" data-name=\"State\"><input type=\"text\" name=\"State\" value=\"\" size=\"40\" class=\"wpcf7-form-control wpcf7-text\" aria-invalid=\"false\" \/><\/span><\/td>\n<\/tr>\n<tr>\n<td> ZIP Code<\/td>\n<td><span class=\"wpcf7-form-control-wrap\" data-name=\"ZipCode\"><input type=\"text\" name=\"ZipCode\" value=\"\" size=\"40\" class=\"wpcf7-form-control wpcf7-text\" aria-invalid=\"false\" \/><\/span><\/td>\n<\/tr>\n<tr>\n<td>Telephone<\/td>\n<td><span class=\"wpcf7-form-control-wrap\" data-name=\"TelephoneNumber\"><input type=\"tel\" name=\"TelephoneNumber\" value=\"\" size=\"40\" class=\"wpcf7-form-control wpcf7-text wpcf7-tel wpcf7-validates-as-tel\" aria-invalid=\"false\" \/><\/span><\/td>\n<\/tr>\n<tr>\n<td>Fax<\/td>\n<td><span class=\"wpcf7-form-control-wrap\" data-name=\"FaxNumber\"><input type=\"tel\" name=\"FaxNumber\" value=\"\" size=\"40\" class=\"wpcf7-form-control wpcf7-text wpcf7-tel wpcf7-validates-as-tel\" aria-invalid=\"false\" \/><\/span><\/td>\n<\/tr>\n<tr>\n<td rowspan=\"3\" valign=\"top\" bgcolor=\"#94d2f8\"><b>Project Information<\/b><\/td>\n<td>Location \/ Project Name<\/td>\n<td><span class=\"wpcf7-form-control-wrap\" data-name=\"ProjectName\"><input type=\"text\" name=\"ProjectName\" value=\"\" size=\"40\" class=\"wpcf7-form-control wpcf7-text\" aria-invalid=\"false\" \/><\/span><\/td>\n<\/tr>\n<tr>\n<td>Project Bid Date<\/td>\n<td><span class=\"wpcf7-form-control-wrap\" data-name=\"ProjectBidDate\"><input type=\"date\" name=\"ProjectBidDate\" value=\"\" class=\"wpcf7-form-control wpcf7-date wpcf7-validates-as-date\" aria-invalid=\"false\" \/><\/span><\/td>\n<\/tr>\n<tr>\n<td>Projected Installation Date<\/td>\n<td><span class=\"wpcf7-form-control-wrap\" data-name=\"ProjectedInstallationDate\"><input type=\"date\" name=\"ProjectedInstallationDate\" value=\"\" class=\"wpcf7-form-control wpcf7-date wpcf7-validates-as-date\" aria-invalid=\"false\" \/><\/span><\/td>\n<\/tr>\n<tr>\n<td valign=\"top\" rowspan=\"8\" bgcolor=\"#94d2f8\"><b>Project Determination Criteria<\/b><\/td>\n<td valign=\"top\">What refrigerant gases are to be monitored?<\/td>\n<td valign=\"top\" ><span class=\"wpcf7-form-control-wrap\" data-name=\"gasesToBeMonitored\"><span class=\"wpcf7-form-control wpcf7-checkbox\"><span class=\"wpcf7-list-item first\"><label><input type=\"checkbox\" name=\"gasesToBeMonitored[]\" value=\"R-11\" \/><span class=\"wpcf7-list-item-label\">R-11<\/span><\/label><\/span><span class=\"wpcf7-list-item\"><label><input type=\"checkbox\" name=\"gasesToBeMonitored[]\" value=\"R-12\" \/><span class=\"wpcf7-list-item-label\">R-12<\/span><\/label><\/span><span class=\"wpcf7-list-item\"><label><input type=\"checkbox\" name=\"gasesToBeMonitored[]\" value=\"R-22\" \/><span class=\"wpcf7-list-item-label\">R-22<\/span><\/label><\/span><span class=\"wpcf7-list-item\"><label><input type=\"checkbox\" name=\"gasesToBeMonitored[]\" value=\"R-23\" \/><span class=\"wpcf7-list-item-label\">R-23<\/span><\/label><\/span><span class=\"wpcf7-list-item\"><label><input type=\"checkbox\" name=\"gasesToBeMonitored[]\" value=\"R-123\" \/><span class=\"wpcf7-list-item-label\">R-123<\/span><\/label><\/span><span class=\"wpcf7-list-item\"><label><input type=\"checkbox\" name=\"gasesToBeMonitored[]\" value=\"R-134a\" \/><span class=\"wpcf7-list-item-label\">R-134a<\/span><\/label><\/span><span class=\"wpcf7-list-item\"><label><input type=\"checkbox\" name=\"gasesToBeMonitored[]\" value=\"R-141b\" \/><span class=\"wpcf7-list-item-label\">R-141b<\/span><\/label><\/span><span class=\"wpcf7-list-item\"><label><input type=\"checkbox\" name=\"gasesToBeMonitored[]\" value=\"R-507a\" \/><span class=\"wpcf7-list-item-label\">R-507a<\/span><\/label><\/span><span class=\"wpcf7-list-item last\"><label><input type=\"checkbox\" name=\"gasesToBeMonitored[]\" value=\"R-717\" \/><span class=\"wpcf7-list-item-label\">R-717<\/span><\/label><\/span><\/span><\/span><\/td>\n<\/tr>\n<tr>\n<td> Other Gases?<\/td>\n<td><span class=\"wpcf7-form-control-wrap\" data-name=\"OtherGases\"><input type=\"text\" name=\"OtherGases\" value=\"\" size=\"40\" class=\"wpcf7-form-control wpcf7-text\" aria-invalid=\"false\" \/><\/span><\/td>\n<\/tr>\n<tr>\n<td valign=\"top\">Are possible contaminants nearby? (i.e. cleaning fluids, ammonia or other hydrogen or chlorine sources)<\/td>\n<td valign=\"top\" ><span class=\"wpcf7-form-control-wrap\" data-name=\"ArePossibleContaminantsNearBy\"><span class=\"wpcf7-form-control wpcf7-radio\"><span class=\"wpcf7-list-item first\"><label><input type=\"radio\" name=\"ArePossibleContaminantsNearBy\" value=\"Yes\" \/><span class=\"wpcf7-list-item-label\">Yes<\/span><\/label><\/span><span class=\"wpcf7-list-item last\"><label><input type=\"radio\" name=\"ArePossibleContaminantsNearBy\" value=\"No\" \/><span class=\"wpcf7-list-item-label\">No<\/span><\/label><\/span><\/span><\/span><\/td>\n<\/tr>\n<tr>\n<td valign=\"top\" >Number of chillers?<\/td>\n<td valign=\"top\" ><span class=\"wpcf7-form-control-wrap\" data-name=\"NumberOfChillers\"><input type=\"number\" name=\"NumberOfChillers\" value=\"0\" class=\"wpcf7-form-control wpcf7-number wpcf7-validates-as-number\" aria-invalid=\"false\" \/><\/span><\/td>\n<\/tr>\n<tr>\n<td valign=\"top\">Distance between chillers?<\/td>\n<td valign=\"top\" ><span class=\"wpcf7-form-control-wrap\" data-name=\"DistanceBetweenChillers\"><input type=\"text\" name=\"DistanceBetweenChillers\" value=\"\" size=\"40\" class=\"wpcf7-form-control wpcf7-text\" aria-invalid=\"false\" \/><\/span><\/td>\n<\/tr>\n<tr>\n<td valign=\"top\">Size of room?<\/td>\n<td valign=\"top\" ><span class=\"wpcf7-form-control-wrap\" data-name=\"SizeOfRoom\"><input type=\"text\" name=\"SizeOfRoom\" value=\"\" size=\"40\" class=\"wpcf7-form-control wpcf7-text\" aria-invalid=\"false\" \/><\/span><\/td>\n<\/tr>\n<tr>\n<td valign=\"top\">Number of Sensing Points<\/td>\n<td valign=\"top\"><span class=\"wpcf7-form-control-wrap\" data-name=\"NumberOfSensingPoints\"><input type=\"number\" name=\"NumberOfSensingPoints\" value=\"0\" class=\"wpcf7-form-control wpcf7-number wpcf7-validates-as-number\" min=\"0\" max=\"24\" aria-invalid=\"false\" \/><\/span><\/td>\n<\/tr>\n<tr>\n<td valign=\"top\">Number of points of egress (man-doors) from mechanical room?<\/td>\n<td valign=\"middle\"><span class=\"wpcf7-form-control-wrap\" data-name=\"NumberOfMechanicalRoomEntrances\"><input type=\"number\" name=\"NumberOfMechanicalRoomEntrances\" value=\"0\" class=\"wpcf7-form-control wpcf7-number wpcf7-validates-as-number\" aria-invalid=\"false\" \/><\/span><\/td>\n<\/tr>\n<tr>\n<td valign=\"top\" bgcolor=\"#94d2f8\"><b>Options Desired<\/b><\/td>\n<td valign=\"top\">Check all that apply.\n<p>If replacing an existing system, check only new items needed or those to be replaced.<\/p>\n<\/td>\n<td valign=\"top\"><span class=\"wpcf7-form-control-wrap\" data-name=\"OptionsDesired\"><span class=\"wpcf7-form-control wpcf7-checkbox\"><span class=\"wpcf7-list-item first\"><label><input type=\"checkbox\" name=\"OptionsDesired[]\" value=\"Local Horn\" \/><span class=\"wpcf7-list-item-label\">Local Horn<\/span><\/label><\/span><span class=\"wpcf7-list-item\"><label><input type=\"checkbox\" name=\"OptionsDesired[]\" value=\"Local Strobe\" \/><span class=\"wpcf7-list-item-label\">Local Strobe<\/span><\/label><\/span><span class=\"wpcf7-list-item\"><label><input type=\"checkbox\" name=\"OptionsDesired[]\" value=\"Remote Display Panel\" \/><span class=\"wpcf7-list-item-label\">Remote Display Panel<\/span><\/label><\/span><span class=\"wpcf7-list-item\"><label><input type=\"checkbox\" name=\"OptionsDesired[]\" value=\"Remote Horn\/Strobe Combo\" \/><span class=\"wpcf7-list-item-label\">Remote Horn\/Strobe Combo<\/span><\/label><\/span><span class=\"wpcf7-list-item\"><label><input type=\"checkbox\" name=\"OptionsDesired[]\" value=\"Emergency Power Shut-Off Switch\" \/><span class=\"wpcf7-list-item-label\">Emergency Power Shut-Off Switch<\/span><\/label><\/span><span class=\"wpcf7-list-item\"><label><input type=\"checkbox\" name=\"OptionsDesired[]\" value=\"Emergency Ventilation Switch\" \/><span class=\"wpcf7-list-item-label\">Emergency Ventilation Switch<\/span><\/label><\/span><span class=\"wpcf7-list-item\"><label><input type=\"checkbox\" name=\"OptionsDesired[]\" value=\"Battery Backup\" \/><span class=\"wpcf7-list-item-label\">Battery Backup<\/span><\/label><\/span><span class=\"wpcf7-list-item\"><label><input type=\"checkbox\" name=\"OptionsDesired[]\" value=\"Calibration Kit\" \/><span class=\"wpcf7-list-item-label\">Calibration Kit<\/span><\/label><\/span><span class=\"wpcf7-list-item\"><label><input type=\"checkbox\" name=\"OptionsDesired[]\" value=\"Analog Output for BMS Connection\" \/><span class=\"wpcf7-list-item-label\">Analog Output for BMS Connection<\/span><\/label><\/span><span class=\"wpcf7-list-item last\"><label><input type=\"checkbox\" name=\"OptionsDesired[]\" value=\"SCBA &amp; Wall Case\" \/><span class=\"wpcf7-list-item-label\">SCBA &amp; Wall Case<\/span><\/label><\/span><\/span><\/span><\/p>\n<table border=\"0\" cellpadding=\"4\" cellspacing=\"0\">\n<tr>\n<td style=\"border:none;\">Remote Horn\/Strobe Combo Quantity:<\/td>\n<td style=\"border:none;\"><span class=\"wpcf7-form-control-wrap\" data-name=\"RemoteHornStrobeComboQty\"><input type=\"number\" name=\"RemoteHornStrobeComboQty\" value=\"0\" class=\"wpcf7-form-control wpcf7-number wpcf7-validates-as-number\" aria-invalid=\"false\" \/><\/span><\/td>\n<\/tr>\n<tr>\n<td style=\"border:none;\">Emergency Power Shut-Off Switch Quantity:<\/td>\n<td style=\"border:none;\"><span class=\"wpcf7-form-control-wrap\" data-name=\"EmergencyPowerShutOffSwitchQty\"><input type=\"number\" name=\"EmergencyPowerShutOffSwitchQty\" value=\"0\" class=\"wpcf7-form-control wpcf7-number wpcf7-validates-as-number\" aria-invalid=\"false\" \/><\/span><\/td>\n<\/tr>\n<tr>\n<td style=\"border:none;\">Emergency Ventilation Switch Quantity:<\/td>\n<td style=\"border:none;\"><span class=\"wpcf7-form-control-wrap\" data-name=\"EmergencyVentilationSwitchQty\"><input type=\"number\" name=\"EmergencyVentilationSwitchQty\" value=\"0\" class=\"wpcf7-form-control wpcf7-number wpcf7-validates-as-number\" aria-invalid=\"false\" \/><\/span><\/td>\n<\/tr>\n<tr>\n<td style=\"border:none;\">SCBA & Wall Case Quantity:<\/td>\n<td style=\"border:none;\"><span class=\"wpcf7-form-control-wrap\" data-name=\"SCBAWallCaseQty\"><input type=\"number\" name=\"SCBAWallCaseQty\" value=\"0\" class=\"wpcf7-form-control wpcf7-number wpcf7-validates-as-number\" aria-invalid=\"false\" \/><\/span><\/td>\n<\/tr>\n<tr>\n<td style=\"border:none;\">Other Safety Switch Requirements:<\/td>\n<td style=\"border:none;\"><span class=\"wpcf7-form-control-wrap\" data-name=\"OtherSafetySwitchRequirements\"><input type=\"text\" name=\"OtherSafetySwitchRequirements\" value=\"\" size=\"40\" class=\"wpcf7-form-control wpcf7-text\" aria-invalid=\"false\" \/><\/span><\/td>\n<\/tr>\n<\/table>\n<\/td>\n<\/tr>\n<tr>\n<td valign=\"top\" bgcolor=\"#94d2f8\"><b>Comments<\/b>\n        <\/td>\n<td valign=\"top\">Please include any additional information you believe relevant<\/td>\n<td valign=\"top\"><span class=\"wpcf7-form-control-wrap\" data-name=\"Comments\"><textarea name=\"Comments\" cols=\"40\" rows=\"10\" class=\"wpcf7-form-control wpcf7-textarea\" aria-invalid=\"false\"><\/textarea><\/span><\/td>\n<\/tr>\n<tr>\n<td colspan=\"3\" style=\"text-align:center; border:none;\"><input type=\"submit\" value=\"Send\" class=\"wpcf7-form-control has-spinner wpcf7-submit\" \/><\/td>\n<\/tr>\n<\/table>\n<div class=\"wpcf7-response-output\" aria-hidden=\"true\"><\/div><\/form><\/div><\/p>\n","protected":false},"author":3,"featured_media":0,"parent":0,"menu_order":0,"comment_status":"closed","ping_status":"closed","template":"full-width.php","meta":{"_et_pb_use_builder":"on","_et_pb_old_content":"<h4>Complete the form below and a Thermal Gas representative will contact your shortly regarding your request.<\/h4>\n[contact-form-7 id=\"333\" title=\"Price Quote Request\"]","_et_gb_content_width":""},"_links":{"self":[{"href":"https:\/\/siteviews.biz\/thermalgas\/wp-json\/wp\/v2\/pages\/43"}],"collection":[{"href":"https:\/\/siteviews.biz\/thermalgas\/wp-json\/wp\/v2\/pages"}],"about":[{"href":"https:\/\/siteviews.biz\/thermalgas\/wp-json\/wp\/v2\/types\/page"}],"author":[{"embeddable":true,"href":"https:\/\/siteviews.biz\/thermalgas\/wp-json\/wp\/v2\/users\/3"}],"replies":[{"embeddable":true,"href":"https:\/\/siteviews.biz\/thermalgas\/wp-json\/wp\/v2\/comments?post=43"}],"version-history":[{"count":1,"href":"https:\/\/siteviews.biz\/thermalgas\/wp-json\/wp\/v2\/pages\/43\/revisions"}],"predecessor-version":[{"id":3032,"href":"https:\/\/siteviews.biz\/thermalgas\/wp-json\/wp\/v2\/pages\/43\/revisions\/3032"}],"wp:attachment":[{"href":"https:\/\/siteviews.biz\/thermalgas\/wp-json\/wp\/v2\/media?parent=43"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}