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Custom Quote Form

Please print out this Form and Fax to us at: (785) 544-7777

Customer:		Date:
Mailing Address: (City, State, Zip)
Job Site Location:
Phone Number:		Fax:
Best Time to Contact:

Quantity	Bin and Accessories Required:
Bin Sizes:	Accessories
	Drying Floor:
	Ladder: _________ Inside _________ Outside
	Vents: _____________(Number Required)
	Transition:
	Fan: ______ HP size ________ Phase _____ Centrifugal
	Foundation Sealant:
	Unloader: ________ Size _________ Manufacturer
	Center Trap: _____________ Intermediate Traps ___________
	Bin Sweep: _________________ Manufacturer
	Spreader: __________________Manufacturer
	Level Monitors/Bin Indicators: ____________ (Number Required)
	Motors: _________ (Number Required) _______ HP ___________ Phase
	Bin Lids: ____________(Number Required), other than Butler's standard
	Leg: _________ Height __________ Bushel Capacity
	Tower: _________________ Size & Height
	Spouting: ____________Feet _____________ Diameter Size _____________ Gauge
	Distributor: ___________________ Size
	Cushion Boxes: ____________(Number Required)
	Overhead Structure: __________________ Type
	Hopper Tank: _________ Size _____________ Ladder & Cage
	Conveyor: _________________________