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Company
Office Phone
Contact Name*
First Last
Email*
Cell Phone*
Project Name*
Address*
City State / Province / Region
Specify which flooring system*
- Grid40 (1.6")
- Grid70 (2.75")
Floor Plan / Drawing*
Must be a PDF or CAD file with dimensions.
Accepted file types: pdf, cad.
Net square feet (or meters)*
Please include units of measurement (ft² or m²).
FreeAxez will apply a waste factor.
Is attic stock required?*
- Yes
- No
Attic stock %*
Ramp required?*
- Yes
- No
Ramp steepness*
- 1:12
- 1:20
Linear feet/cm straight ramp*
Please include units (ft/cm).
# of internal angles*
# of external angles*
Stainless steel frame - linear feet/cm*
Please include units (ft/cm).
Reinforcement required?*
- Yes
- No

Optional components

Please include the quantity and description.

Are cut-outs for electrical boxes required?*
- Yes
- No
Quantity of cut-outs*
Are electrical boxes required?*
- Yes
- No
Choose a floor box:*
- AFM-FAS Ultra Shallow
- FAS-4001 Flush
Choose a floor box:*
- FAS-7001 Flush
Floor box quantity*
ZIP Code & City for delivery*
Standard dock delivery.
City ZIP / Postal Code
Special delivery requirements
Estimated material requirement date
Date Format: MM slash DD slash YYYY
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Delran, NJ 08075

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