Dealer Info
End User Info
*
Name
Name
Sales Rep Name
*
Location
*
e-mail
*
Phone
Financial Info
Lease Type
-----------------
Operating Lease
Finance Lease
Muni Lease
Deal Comments
Monthly Payment
Lease Term
months
Expected Term
months
Equipment Cost
One-time Cost
Total Cost
Specifications
Modular Need
---------------
New Construction
Renovation
Expansion
Overcrowding
Expected Completion
Teardown
Cost + % List %
Prevailing Rate
Fixed Cost - List cost
Return Frt
Cost + % List %
Prevailing Rate
Fixed Cost - Amount
States Code
-----
AL
AK
AZ
AR
CA
CO
CT
DE
DC
FL
GA
HI
ID
IL
IN
IA
KS
KY
LA
ME
MD
MA
MI
MN
MS
MO
MT
NE
NV
NH
NJ
NY
NC
ND
OH
OK
OR
PA
OR
RI
SC
SD
TN
TX
UT
VT
VA
WA
WV
WI
WY
-----
AL
AK
AZ
AR
CA
CO
CT
DE
DC
FL
GA
HI
ID
IL
IN
IA
KS
KY
LA
ME
MD
MA
MI
MN
MS
MO
MT
NE
NV
NH
NJ
NY
NC
ND
OH
OK
OR
PA
OR
RI
SC
SD
TN
TX
UT
VT
VA
WA
WV
WI
WY
-----
AL
AK
AZ
AR
CA
CO
CT
DE
DC
FL
GA
HI
ID
IL
IN
IA
KS
KY
LA
ME
MD
MA
MI
MN
MS
MO
MT
NE
NV
NH
NJ
NY
NC
ND
OH
OK
OR
PA
OR
RI
SC
SD
TN
TX
UT
VT
VA
WA
WV
WI
WY
-----
AL
AK
AZ
AR
CA
CO
CT
DE
DC
FL
GA
HI
ID
IL
IN
IA
KS
KY
LA
ME
MD
MA
MI
MN
MS
MO
MT
NE
NV
NH
NJ
NY
NC
ND
OH
OK
OR
PA
OR
RI
SC
SD
TN
TX
UT
VT
VA
WA
WV
WI
WY
-----
AL
AK
AZ
AR
CA
CO
CT
DE
DC
FL
GA
HI
ID
IL
IN
IA
KS
KY
LA
ME
MD
MA
MI
MN
MS
MO
MT
NE
NV
NH
NJ
NY
NC
ND
OH
OK
OR
PA
OR
RI
SC
SD
TN
TX
UT
VT
VA
WA
WV
WI
WY
Floorplan
-----------------------
Wide Open
Minimal Offices/partitions
Heavy Offices/partitions
Occupancy
B- Business
E -Education
A -Assembly
Other
Manufacturer
Qty /#floors
Box Module Sizes
Box Complex Size
Total Sq. Ft.
Value
X
X
X
X
Roof
EPDM
Galvanized
Shingled
Other
Exterior
T1-11
Aluminum
Steel (
GA )
Hardi Panel
Pleko/ Stucco
Vinyl
Smart Panel
Other
Floor decking
5/8
3/4
Other
Floor finish
Tile
Carpet
Other
HVAC
# Units
Tons/Unit
End Mount
Roof Mount
Pad
Other
Frame
Steel Outrigger
Steel Perimeter
Concrete Sys
Other
Clear Span?
Yes
No
Electrical:
single phase
three phase
Sprinkler
Yes
No
Handicapped
Yes
No
Bath?
Yes
No