pat@greatwesternpainting.com    Fax - 413-618-7494   Pat  1 - 877-749-5554  Home Page                                                                              1  -  Tower  -  Form                                                                                               If more then 1 tower use this form  Towers 2-4 Date                                              Name Company      Phone Office Cell Fax Email Location  Address City     State   Zip Contractor / General  Infomation Contact  Name     Company      Phone Office Cell Fax Email Location  Address City     State   Zip Paint Company and Rep Infomation Contact  Name     Company      Phone Office Cell Fax Location  Address City     State   Zip _______________________________________________________________________________________________________________________ Tower - 1 Out Side -  Height     Diameter      Top                     Total  FT.  Sand Blast  -  Normal    White metal   Grind and scrap only     Water Blast  500+ PSI   Sand Cost  Type of Paint       Primer     Cost per Gal.   Paint - Ft per Gal         Finish      Cost per Gal.   Paint - Ft per Gal                        Not Sure of kind of paint to use Lead Abetment Removal   Yes    No    Amount   Comments Thanks Blake