Curb Measurement Request Form FMS (Field Measurement Service) or VMS (Virtual Measurement Service)*The FMS requires a Curbco agent to meet with a technician on the job site and measure the curb(s) for a cost of $150+. This service can take up to a week to coordinate. The VMS is simpler to coordinate, can be done anywhere with a phone and a camera. The cost for the VMS is $47. Please select the service that fits your situation best.No ServiceVMSFMSTotal $0.00 Consent* I understandIf the total above is an estimate, it is not a quote for the cost to provide this service. The price could change depending on travel and complexity of the job. Once a Curbco rep has contacted the in-field contact and better understands the scope of the work to be performed, they can provide a more accurate estimation of cost.TitleCompany Name*Name of Company Initiating the requestName*Name of the person filling out this form First Last Email*Email of the person filling out this form Phone*Phone of the person filling out this formIs the person filling out this form responsible for payment?*YesNoName of person responsible for payment? First Last Email of person responsible for payment of service? Phone of person responsible for payment of service?Consent*I hereby acknowledge the need for an In Field representative to meet the FMS rep at the job site at the desired time, and will provide roof access, remove panels providing access to the inside of the package unit, and will stay with the FMS rep until the FMS is completed. I understandIn Field Contact Name (First Last)The name of the person who the FMS/VMS agent will contact to coordinate the service?In Field Contact PhoneThe phone number of the in field contactIn Field Contact Email The email of the In Field ContactDesired Date of ServiceMonth123456789101112Day12345678910111213141516171819202122232425262728293031Year202120202019201820172016201520142013201220112010200920082007200620052004200320022001200019991998199719961995199419931992199119901989198819871986198519841983198219811980197919781977197619751974197319721971197019691968196719661965196419631962196119601959195819571956195519541953195219511950194919481947194619451944194319421941194019391938193719361935193419331932193119301929192819271926192519241923192219211920If date of desired FMS service is known, please provideJob Name*A name to give this project so we can easily identifyJob Location* Street Address City ZIP Code Is there something under the RTU besides the original curb?*YesNoWhat is under the RTU?*A Curb AdapterA vibration isolatorUnsureNew Package Unit SpecificationsAccepted file types: pdf.If you have the new unit specs and can upload greatAdditional Comments/Notes
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