Modular Cleanroom Worksheet

Please fill out this form as completely as possible so that we are better able to help you. If you need help with this form or prefer to discuss your clean room needs directly with us, call 1-800-815-2726. This information is used only to contact you and will not be sold or redistributed.

General Information
(W x L x H)
(W x L x H)
(W x L x H)
Will you need a separate gowning room?   
Temperature and Humidity Requirements
to degrees
to percent

to degrees
to percent
Describe any special exhaust requirements.
List any excessive heat producing equipment. (in BTUs or KW)
Electrical Requirements
Which electrical service will be available for the modular clean room?


  or   Not sure
  or   Not sure
Any special lighting requirements?
Special Equipment
Will the modular clean room require any special equipment? (check all that apply) Water Purification System
Laminar Flow Hood
Sinks
Process Piping
Gowning Equipment
Any other special equipment requirements?
Contact information
Please include your name and at least one way for us to contact you. Or, print this worksheet, fill it in and fax it to 972-513-1877. This information is used only to contact you and will not be sold or redistributed.