Bespoke Glass Quotation Form
HEAD OFFICE AND FACTORY Aquavision Unit 7 Riverpark, Billet Lane Berkhamsted, Hertfordshire HP4 1HL United Kingdom +44 [0]1442 872665
AMERICAN OFFICE Aquavision, Inc.
#197 5 Southside Drive, Suite 11
Clifton Park, NY 12065 America
+1 800 524 1804
Aquavision Distribution Ltd. is a company registered in England and Wales. Registered number: 07756677
IMPORTANT – All dimensions shown are from the front of the mirror. Use one form for each piece of glass required.Once you have completed the form please email it to [email protected].
To be able to give an accurate price, we will need the following information:
A Mirror Height
B Mirror Width
C Distance BOTTOM of TV to BOTTOM of mirror, or Central
D Distance LEFT side of TV window to LEFT side of mirror, or Central
E TV Screen size 16”, 22”, 27”, 32”, 42”, 55”, 65”, 85” or leave BLANK for matching mirrors. [55”, 65”, 85” are Elite 4K only]
TV Model Genesis, Nexus, Pinnacle, ConnecTV/ConnecTV Active, Elite 4K.
Glass Type MirrorVision+® or painted to RAL No.
Dimensions Please indicate unit of measurement
Accessories
AVF-5SPEAKERS Stereo Ceiling speaker
AVF-4SPEAKERS Ceiling speaker
AVF-3SPEAKERS Ceiling speaker
AVF-2SPEAKERS Surface speaker
AVF-1SPEAKERS Surface speaker
AVF-5RSP Remote Switch Panel
AVF-4SKYA Sky Remote Eye Kit
AVF-IRBLAST Infrared Blaster
AVF-SRLYF Relay Interface Module
Completed by:
Company:
Date:
Phone No:
Email:
Notes:
¨ Aquavision’s MirrorVision+ is the standard Mirror glass supplied
¨ Dimensions C and D are not required for initial quotation
¨ Aquavision only supply mirrors or custom glass for installation with Aquavision televisions
¨ Glass is generally ready for collection 6 weeks from confirmed order
¨ Mounting brackets may be suggested but it’s the customer’s responsibility to ensure these, and any fixings, are correct for the job
¨ Maximum size 2400mm x 1500mm or 94” x 60”
¨ Glass is 6mm [1/4”] thick
Aquavision use only.
Quote Reference ______________ Drawing Reference 4009-_________________ REV __________ Issued for Manufacturer _____ /_____ /_____
Expected delivery ____ /____ /____ Account Reference _________ ____PO#_______________ SO#___________ Delivered ____ /_____ /_____
Any special requirements [holes for cables, lights, taps, Bevels etc]:
Signed: PLEASE NOTE: Please tick the box to agree use of the signature above.
Tel: +44 (0)1256 638500
Sales email: [email protected]
