Applications Engineering Request

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    Please fill out the form below.
You will be contacted shortly thereafter by a Cooper Wheelock applications engineer.
      Please provide the following contact information:   Items marked with a red asterisk are required.
  Name (First, MI, Last):

    

  E-Mail Address:

 

  Street Address:

 
  City/State:
           
  Country:
  
  Zip Code:
  Phone Number:
     Company Name:

 

Standard Technical Information(STI) - Required but not limited to:
                  (Use Comments to enter additional information):
     OSHA/ADA Requirements(if any):
     Dimensions of Targeted Area
(Length x Width):
     Existing End User Data
- Sound Pressure Level(SPL) in dB:
     Ceiling Heights in Production
and Office Areas:
     Obstacles to Sound: For Example, Height of Warehouse Storage
Racks compared to Ceiling Height:
       Location of Electrical Room, Safepath Panel, Mezzanine Area (if any):
Client/End User Selection:                  
    Comments:
By submitting this form, you are agreeing to be contacted by a Cooper Wheelock applications team member.