Name
Business
Address
City
State	Zip
Country
Phone
E-mail

Booth Type: Enclosed Crossdraft

Name of Booth Mfgr.
Intake Grid Size
Intake Style
    Panel (internal wire frame)
    Pad
    Roll
Intake Media
    2-ply Polyester Panel w/ tackafier (original media)
    3-ply Polyester Panel w/o tackafier (upgrade from original)
    2-ply Polyester Panel w/ tackafier (upgrade from original)
Exhaust Grid Size
Exhaust Style
    Paper Pad
    Paper (acordian type) 36" wide
    Fiberglass Pad
    Fiberglass Roll
    Styrofoam
    Wire Holding Grids (10 pack)

Booth Type: Open Face Industrial Floor Type

Name of Booth Mfgr.
Exhaust Grid Size
Exhaust Style
    Paper Pad
    Paper (accordion type) 36" wide
    Fiberglass Pad
    Fiberglass Roll
    Styrofoam
    Wire Holding Grids (10 pack)

Booth Type: Downdraft Booth or Prep Station

Name of Booth Mfgr.
Model of Booth
Year Installed
Pre-Filter Size
Quantity per Unit
Pre-Filter Type - Intake or Air Make-Up
    Panel Polyester Media (internal wire frame)
    Panel Pleated with metal or paper frame
    Bag with wire frame
    Bag with metal frame - Number of pockets
    Bag
    Polyester Pad
    Polyester Roll
    Fiberglass Roll
Ceiling Filter Size
    Quantity per Unit
Ceiling Filter Type
    Panel (internal wire frame)
    Pad (original media)
Floor (pit) Width   Floor (pit) Length
Floor (pit) Filter Type
    Fiberglass Roll
    Paper Blanket
    Paper Pad (accordion)
    Polyester Pad
Exhaust Post Filter (optional) ahead of exhaust fan size

Describe Optional Exhaust Post Filter and quantity:

Leave any additional comments here...