INFORMATION REQUEST FORM

We can help YOU with YOUR noise problems!

Please complete the form below and submit online, or print and fax to Memtech at:
1-800-634-4472 or +1 (734) 455-8552

Fields marked with * are mandatory

All measurements in feet and inches

Contact Name: *
Company:
Title:
Phone: *
Fax:
Email: *
Website:
Application Details

eg factory, gym, etc.

Active Project?

Project Being Planned

Future Project

Room Acoustics

Room Size:

(eg 85ft Ht x 150ft Wide x 82ft)

Ceiling Size:

(eg 150ft x 82ft)

Wall size:

(eg 85ft Ht x 150ft +)

Door Size:

Window Size:

What is room made of?

Ceiling:

Floor:
Walls:
Fire Rating

Class 1

Class 2 or B

`Class C

How many people in room at one time?

Reverberation Time

dBa or Noise Pressure:

HZ:

Is Noise:

Continuous

Intermittent

Moisture:

Yes

No

If Yes what is it?

Temperature:

Yes

No

If Yes what is it?

What do you need?

Baffles Panels
Barrier Composite

Comments:

Questions: