Request a Quote Step 1 of 3 0% Date MM DD YYYY Company InformationFirst Name*Last Name*Company Name*Billing Address* Street Address Address Line 2 City AlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State ZIP Code Phone*Email* Preferred method of contact*PhoneEmailTobacco Merchandiser QuoteWould you like installation estimatedNoYesWould you like shipping estimated?NoYesAre you interested in:* The Infinity Fixture Under the Counter Merchandiser Overhead Pack Merchandiser Altria Fixture Reimbursement Program/CTB Other What color fixtures are you interested in?BlackSilverOverhead Pack MerchandiserQty of 2' OPM requiredQty of 4' OPM requiredUnder the Counter MerchandiserQty of 2' Under Counter requiredCommentsCommentsPromo CodeStore InformationHow many stores in your chain?1-1011-5050+How many stores for this quote?1234567891011+An account manager will be assigned to assist you through the quotation process. Feel free to continue filling out the form with your Store #1 Configuration so that we can begin to assess your needs.Attach store list in excel format, if available.Accepted file types: xls, xlsx. Store #1Do you know the Altria RC# for this location?(optional)Store #(optional)Store Name(optional)Check Here if the Shipping Address is the same as the Billing Address Same As Billing Address Enter the shipping address for this store* Street Address Address Line 2 City AlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State ZIP Code Shipping Address Name(optional)Contact Name at shipping location(optional)Email (optional)Phone(optional)Upload “look Book” or other plan-o-gram files.(optional)Upload photo of current tobacco fixtures(optional) File Size Limit of 5MB Fixture ConfigurationFixture Height*Low ProfileStandard HeightOverall length in feet of tobacco fixture:*(example: 5 ft of cigarettes + 2 ft of smokeless + 1 ft of cigar = 8 ft)Cigarette CategoryFeet of Cigarette Facings Required0'1'2'3'4'5'6'7'8'9'10'11' Number of rows with cigarette pushers01234567891011Standard Height = max 11Number of rows with cigarette pushers0123456Low Profile = max 6Smokeless CategoryFeet of Smokeless Facings Required0'1'2'3'4'5'6'7'8'9'10'11' Number of rows with smokeless pushers01234567891011Standard Height = max 11Number of rows with smokeless pushers0123456Low Profile = max 6 Number of rows with cigarette pushers01234567891011Standard Height = max 11Number of rows with cigarette pushers0123456Low Profile = max 6 Number of rows with adjustable width pushers01234567891011Standard Height = max 11Number of rows with adjustable width pushers0123456Low Profile = max 6Note: Total row of pushers should not exceed 6 rows.Note: Total row of pushers should not exceed 11 rows.Cigar CategoryFeet of Cigar Facings Required0'1'2'3'4'5'6'7'8'9'10'11' Number of rows with cigarette pushers01234567891011Standard Height = max 11Number of rows with cigarette pushers0123456Low Profile = max 6 Number of rows with adjustable width pushers01234567891011Standard Height = max 11Number of rows with adjustable width pushers0123456Low Profile = max 6Note: Total row of pushers should not exceed 6 rows.Note: Total row of pushers should not exceed 11 rows.E-Cigarette CategoryFeet of E-Cigarette Facings Required0'1'2'3'4'5'6'7'8'9'10'11' Number of rows with adjustable width pushers01234567891011Standard Height = max 11Number of rows with adjustable width pushers0123456Low Profile = max 6 Number of rows with cigarette pushers01234567891011Standard Height = max 11Number of rows with cigarette pushers0123456Low Profile = max 6 Number of hanging hooks needed0123Note: Total row of pushers should not exceed 6 rows.Note: Total row of pushers should not exceed 11 rows.Optional AccessoriesDo you need any optional accessories? Storage Doors Security Doors Storage Doors2'4'6'8'10'12'14'16'18'20'How many feet of storage doors?Security DoorsPlease describe your security door requirementsIs this one complete fixture, or is it broken into two sets?One Complete FixtureBroken into Two SetsHow long is the longest fixture?Comments for this storeReady to quote an additional store? Once you submit this initial request, we will ask for additional information for the next store.NoYesHow did you hear about us?*Altria/Philip MorrisReynoldsWeb SearchMagazine AdTrade ShowAlready knew Harbor IndustriesOtherPlease let us know howAre you participating in any reimbursement programs?*YesNoYou will have the opportunity to input additional stores on the next page. Please push submit to send Store #1 Configuration.NameThis field is for validation purposes and should be left unchanged.
