Thoroughbred Towers

Please fill out the application below if you are interested in having a tower built or click here for a printable PDF form that can be mailed to us.

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The site Application Fee: $1500.00

* Items in red are required

CUSTOMER INFORMATION
Company Name:
ENTITY: i.e. Inc., LLP:
State of Inc.:
Phone:
Fax:
Service:

CUSTOMER ADDRESSES
Company Address:
City		State	Zip Code
Billing Address:
City		State	Zip Code
Notice Address:
City		State	Zip Code

CUSTOMER CONTACTS
Primary Contact:
Title		Phone	Email Address (leave blank if none) * a copy of this application will be send to this address if filled in
Signatory Name:
Title		Phone	Email Address (leave blank if none)
Emergency Contact:
Title		Phone	Email Address (leave blank if none)
Billing Contact:
Title		Phone	Email Address (leave blank if none)

SITE INFORMATION
TT Site Name/#:
Customer Site Name/#:
Site Address:
City	State		Zip Code
Latitude:
Longitude:

SYSTEM REQUIREMENTS
POWER provided by:
TELCO Provider:
Power Reqirements:
Amps		Volts	# of Outlets
Generator Provided by:
N/A		Make/Model	Fuel Type & Capacity
Batteries:
Quantity		Make/Model

SPACE REQUIREMENTS& RADIO INVENTORY
Dimensions of ground space required for lease:
Total Square Feet:
# of transmitters (Tx):		Transmitter Make/Model:	Transmitter Power Output:
Cabinet also contains:

ANTENNA LOCATION & INVENTORY (type n/a if an item does not apply)

		Sector 1-4	Sector 1-4	Sector 1-3
Antennas Per Sector:
Transmit Receive or both:
Antenna Type:
Antenna Make:
Antenna Model:
Antenna Size:
Antenna Weight:
Requested Antenna Location:
Transmitting Frequencies:
Receiving Frequencies:
Coax: # of Lines & Size:

Built by Orange 42