Decision Date
Company Name
Contact
Address
Address 2
City
State
Zip
Email
Fax #
Phone #
Tower Location
	State     County
Wind Requirement - MPH
Ice Requirement - Inches
Concurrent	Yes   No
Tower Type	Guyed Self-Support Monopole Tilt Down
Tower Height
Face Width (Guy Tower)
Lighting	Red Light Med Intensity Dual Strobe Dual Strobe /w LED
Galvanized	Yes   No
Paint	Yes   No       Color
Tower Use	Land Mobile Broadcast Security Camera PCS Microwave Other
Accessories	Torque Arms Outrigger Platform Climbing Ladder Safety Climb Waveguide Ladder Ice Bridge
Description
Erection Services Needed Yes   No
Foundation Construction Needed Yes   No
Antenna and Line Installation Needed Yes   No
Tower Application
Ant. Elevation Ant. Qty. Ant. Model / Dimensions / Type Radome Frequency Azimuth Ant. Mount Include Mount in Quote Line Qty. Line Size None   Flush Mount   Sidearms   T-Booms   Fixed Platform   Dishmount   None   Flush Mount   Sidearms   T-Booms   Fixed Platform   Dishmount   None   Flush Mount   Sidearms   T-Booms   Fixed Platform   Dishmount   None   Flush Mount   Sidearms   T-Booms   Fixed Platform   Dishmount   None   Flush Mount   Sidearms   T-Booms   Fixed Platform   Dishmount   None   Flush Mount   Sidearms   T-Booms   Fixed Platform   Dishmount   None   Flush Mount   Sidearms   T-Booms   Fixed Platform   Dishmount   None   Flush Mount   Sidearms   T-Booms   Fixed Platform   Dishmount   None   Flush Mount   Sidearms   T-Booms   Fixed Platform   Dishmount   None   Flush Mount   Sidearms   T-Booms   Fixed Platform   Dishmount