Fan Curb Adapter Quote

(NOTE: If you are a contractor, please contact your local air conditioning distributor)

Name:*
Company:
Company Address:
E-Mail:
Phone:
Fax:
*Ship To (City, State, Zip):
Job Name (Optional):
How would you like us to send your quote?	E-Mail Fax

Choose which type of fan curb adapter you need:
	CA-A	CA-B	CA-C

Additional Comments/Information: