Pylon Order Form

Please fill out the prompts below and submit.

A project manager will be in contact with a formal proposal and cost estimate within the next business day or sooner.

*Please note that these additional items may require additional fees

**Please note that these are project dependent, and may require additional fees

Project Name

Site Location

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

Please put all of the following increments in feet and inches (Diagram A)

(ex. 3'-2" or 3ft-2in)

What is the cabinet height?

What is the cabinet width?

What is the cabinet depth?

What is the overall height?

What is the support type?

Is the pole anchor bolted or direct embedded into foundation?

What type of foundation? (Diagram B)

Check all that apply

Round Pier

Round Pier with Anchor Bolts

Round Pier with Concrete Pad at Grade

Spread Footing

Do you have a preferred pole size? If yes, please specify below.

Preferred pole size. Please put increments in feet-inches

Are there any additional requirements for this project?*

Check all that apply

Hand Signed & Sealed Hard Copies (3 sets)

UPS Ground Shipping

Anchor Bolt/Plate Connection Detail Design

Multi-Stage Pole Splice Design Detail

Other - Please let us know in the comment box

Any additional questions/comments/information that you would like to share?

What kind of turnaround would you like? **

Name

First Name

Last Name

What company is requesting this project?

Email

Phone

Country

(###)

###

####

Technical engineering drawings of a round pier and spread footing foundation with details on embedded reinforcements and anchor bolts.

Diagram B

Engineering diagram showing front and side views of a sign for Ellrod Engineering, with dimensions for overall structure, cabinet width, height, and depth, and red labels for measurements.

Diagram A

Pylon Order Form

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