REQUEST FOR QUOTE ROOF & GUTTER DEICING

Customer information is located at the end of the form.
Project Name:

Project Location:

Project Phase:

Quote Due Date:

1. What voltages are available?

ctrl + click to select multiple items

2. What part of the roof and gutter system do you plan to heat?

3. How long is the roof eave?

4. What type of roof is this?

If other, please specify:

a. If Shingle or Standing Seam, please indicate:

i. roof pitch (rise/run or degrees)
ii. number of valleys to be heated

b. If Standing Seam, please indicate

i.distance between seems

5. How long are the gutters?

6. What material are the gutters made of?

7. How long are the downspouts and how many are there?

a. Number of downspouts:
b. Length of each downspout:

8. How far does the eave overhang from the building wall?

9. Would you like us to quote MI cable or SR cable?

10. If you will be installing SR cable on a shingle roof would you like us to quote Ice Melt Panels?

11. What is the distance to the nearest junction box or control?

12. What type of control would you like us to quote?

13. What type of panel do you need?

*Name:	* required
Company:
*Phone:
Fax:
*E-Mail:
Address 1:
Address 2:
*City:
*State/Zip:
Role:	*Other
Where did you learn of Delta-Therm?
Please include the name of the publication, show, search engine, person, etc.
Comments:

On the next page you can submit a plan or sketch.

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