Tower Request

  Please COMPLETELY fill out this form and SUBMIT.    We will respond within 24 hours   

Name  
Address  
City  
State / zip   
Phone  
Email  
Site Name  
City              State    Zip
County    Country  Foreign Zip Code
   SELF SUPPORTING TOWER  Yes / No    GUYED Yes / No
Foundation Type   Yes / No  PIER FOUNDATION  Yes / No  MATT FOUNDATION
Ice   THICKNESS  ICE   Yes / No
Revision  Revision F     Yes / No        Revision G      Yes / No
Wind Speed   MPH     3 sec. gust.  Yes / No
Tower Height Type of antenna Mounts
Special
Requests
Lighting Kit    Yes / No  Lighting required if tower extends beyond 199'
  Antenna Model @ Size
        Quantity   Height on Tower    
        Quantity   Height on Tower    
        Quantity   Height on Tower    
        Quantity   Height on Tower    
        Quantity   Height on Tower    
        Quantity   Height on Tower    
        Quantity   Height on Tower    

GEOTECH REPORTS WILL NEED TO BE RECEIVED TO PERFORM FOUNDATION DRAWINGS

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Revised: 11/01/09