Premier Vehicle Installation, Inc.

3038 S. Specialty Circle, Suite C South Salt Lake, UT 84115

801-478-3062

ESTIMATE REQUEST

Thanks for taking time to look over our form. While it seems large, not all the fields are needed. You just need the options that apply to your application. The checkboxes allow you to make more than one selection.

 

Department/Agency *
Contact Person *
Email *
Phone *
Vehicle Make
Vehicle Year	Please Select 2011 2010 2009 2008 2007 2006 2005 2004 2003 2002 2001 2000
Vehicle Model
Vehicle Type	Marked Vehicle Lightbar Needed Slick Top Unmarked Detective/Staff Low Profile/Concealed Equipment
Vehicle Quantity	1 2 3 4 5 6 7 8 9 10 10+
Lightbar	Please Select Yes No
Lightbar Technology	LED Strobe Halogen Red/Blue Red/Red Amber Directionals
Takedowns	Please Select Yes No
Takedown Technology	LED Halogen OPTICOM
Visor Light	Please Select Yes No
Visor Light Technology	Full Width 24" 12" Red/Blue Red/Red Amber LED Halogen Takedowns
Grill Lights	Please Select Yes No
Grill Light Technology	LED Strobe Halogen Red/Blue Red/Red Amber
Outside Mirror Lights	Please Select Yes No
Outside Mirror Light Technology	LED Strobe Halogen Red/Blue Red/Red Amber
Side Lights	Please Select Yes No
Side Light Technology	LED Strobe Halogen Red/Blue Red/Red Amber
Deck Lights	Please Select Yes No
Deck Light Technology	LED Strobe Halogen Red/Blue Red/Red Amber Red/Amber/Blue Directionals/Arrow Stick
Corner Lights	Please Select Yes No
Corner Light Technology	LED Strobe Red Amber Blue White Front Rear Both
Additional Requests and identify which equipment is NEW or USED.
Push Bumper	Please Select Yes No
Push Bumper Wrap Around	Please Select Yes No
Any Special Requirements?
Siren	Please Select Yes No
Siren Technology	100W 100W X2 Rumbler
Spot Light	Please Select Yes No
Spot Light Location	Driver Side Passenger Side Overhead
Additional Requests/Special Conditions/Comments/Notes:
Center Console	Please Select Yes No
Radio	Please Select Yes No
Radio Technology	VHF UHF 700MHz 800MHz Self Contained Remote
Lightbar Controller	Please Select Yes No
Lightbar Controller Requirements	Combined Light Bar/siren controller Rocker Switches Siren Controller
Power Outlets	Please Select Yes No
Ticket Book Holder	Please Select Yes No
Arm Rest	Please Select Yes No
Cup Holder(s)	Please Select Yes No
Additional equipment/requirements for Console
Computer Stand	Please Select Yes No
Computer Stand Options	Map Light Screen Holder
Security Partition	Please Select Yes No
Security Partition Options	Full Sliding Window Lexan Glass Expanded Metal 1/2 Cage
Prisoner Seat (Fiberglass)	Please Select Yes No
Dome Light	Please Select Yes No
Gun Mount	Please Select Yes No
Gun Mount Options	Vertical Horizontal Dual
List Weapons
Radar	Please Select Yes No
What Kind of Radar?
Video System	Please Select Yes No
What Kind of Video System?
Do You Have a K9?	Please Select Yes No
K9 Cage	Please Select Yes No
K9 Cage Style	Full 2/3-1/3
PVI K9 Electronic Package (Call for detailed information)	Please Select Yes No
K9 Fans	Please Select Yes No
Any Comments, Special Requests or Anything We Might Have Missed?