Request for Quote – Flip Up Wall Mounted Unit

Name*
First Last
Company*
Email*
Phone*
Fax
Address*
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country
Please select one of the following that best describes you:*
TV Dimensions
TV Model and Number (i.e. Samsung UN55F8000)*
Please specify units (in./mm, lbs./kgs, etc.)
Width
Depth
Height
Weight
Controller*
OBJECT SPECIFICATION (Picture, Mirror, Artwork, etc.)

Please specify units (in./mm, lbs./kgs, etc.)
Width*
Depth*
Height*
Weight*
Voltage Required*
How did you hear about us?*
- Internet
- INCA Press Release
- CEPro
- Referrals
- Printed Materials (ex. magazines, flyers, etc)
- Emails
- Previous Customer
- Other
Additional Notes (lift specification, location for installation, space restrictions, outdoor or yacht application, other special requirements, etc.)

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Contact Us

INCA CORPORATION
1632 1/2 West 134th Street
Gardena, CA 90249

T | 310-808-0001
F | 310-808-9092
E | inca@inca-tvlifts.com

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