Aberdeen Install Form ⋆ Cold Town Beer

Requested By

Requester Phone Number

Date

Outlet Name

Address

Post Code

Survey, Quote or Install?

Survey

Quote

Install

Charge to...

Cold Town Beer Cost

Customer Cost

Install / Call Outs / Comments

Site Contact

Contact Number

Access Times

New or Existing Account?

New

Existing

Font to be supplied

Yes

No

Cellar Kit to be supplied

Yes

No

Additional Equipment On Site

Yes

No

Badge Type

Round

Oval

Existing Cooling Unit

Remote / Cellar

Under Counter

Gas Available at Outlet

CO2

30/70

60/40

Date Equipment Delivered (if applic.)

Installation 1

Brand 1 To Be Installed

Display Type of Install 1

Font

T-Bar

Quantity of Install 1

Brand 1 To Be Replaced

Display Type of Replaced 1

Font

T-Bar

Quantity of Replaced 1

Installation 2 (if required)

Brand 2 To Be Installed

Display Type of Install 2

Font

T-Bar

Quantity of Install 2

Brand 2 To Be Replaced

Display Type of Replaced 2

Font

T-Bar

Quantity of Replaced 2

Installation 3 (if required)

Brand 3 To Be Installed

Display Type of Installed 3

Font

T-Bar

Quantity of Installed 3

Brand 3 To Be Replaced

Display Type of Replaced 3

Font

T-Bar

Quantity of Replaced 3