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Emergency Space
•
Disaster Planning
•
Turnkey Advantage
•
Financing
•
Why Modular?
In order for us to assist you better and to help you as quickly as possible when you are faced with an emergency situation, please fill out our Emergency Space Form.
Contact Information:
Company Name:
(required)
Contact:
(required)
Address:
(required)
Address Cont:
City:
(required)
State:
(required)
Zip Code:
(required)
Phone:
(required)
Fax:
Email:
(required)
Site Information:
Site Contact (i.e. site foreman):
(required)
Site Contact Phone:
(required)
Address:
(required)
Address Cont:
City:
(required)
State:
(required)
Square footage of current facility:
(required)
Insurance company/provider:
(required)
Number of employees per department:
(required)
Number of restrooms requried:
(required)
Particular Site Issues:
(required)
(utitilties, vehicles, dumpsters, enterances to site, driveways, trees)
Do you have any employees with disabilities?
(required)
(i.e. wheelchairs, hearing/vision impaired)
What type of surface will the building be on?
(required)
(i.e. dirt, asphalt, graval)
Please describe your business in detail:
(required)
Locations on Site to put modular buildings:
(required)
(Parking Lot/Field/Down the road/etc)
Call Today: 800.966.8883
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Philadelphia • York • Harrisburg • Cherry Hill • Dover • Wilmington • Baltimore • Frederick • Rockville • Annapolis • Richmond • Leesburg
Tel:
800-966-8883 •
Fax:
410-335-9148 •
Email:
sales@wilmotmodular.com
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Kidd & Co
Copyright © 1998 Wilmot Modular Structures, Inc
