Preliminary Price Assessment Form

*Full Name

*Email Address

*Phone Number

*Address of Property to be Protected

*Client Type
Private / ResidentialInstitutional / Commercial

*Structure Type
Single-Family HomeMulti-Family / Apartment BuildingOther

*Floor Level

*Dimensions of the Room Designated for Protection?
(Width, Length, and Height in CM)

*Dimensions of the Window in the Protected Room?
(Length and Width in CM)

*Is there an existing Rolling Shutter Housing(Roller Box)?

*If Shutter Housing exists, what are the total dimensions of the window including the Housing?

*Door Dimensions:
(Length and Width in CM)

*Width of the Corridor Leading to the Room:

* Existing Wall Type:
Blocks / Concrete / Drywall / Other

*Please attach 5-6 photos of the room.
Ensure photos capture the room from two opposing angles,
the window, and the door from both sides (Interior and Exterior).

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