Legrand - Tehnounion
Legrand - Tehnounion
Legrand - Tehnounion
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Eliocad hospital signalling systems<br />
made-to-measure<br />
Fax this form to your <strong>Legrand</strong> sales<br />
representative.<br />
Attach diagrams and electronic files<br />
if necessary.<br />
Call for tender Date of response to call for tender .....................<br />
Project to be carried out Approximate completion date .............................<br />
Enclose special technical specifications with your request and the contact<br />
details of the design office<br />
GENERAL DESCRIPTION OF THE SITE<br />
Number of buildings ............ - Number of floors per building ..............<br />
Number of departments per floor .......... - Department centralisation option<br />
TYPE OF PATIENT CALL AND INSTALLATION<br />
Simple call + Interphone option<br />
Call + nurse present + Interphone option<br />
Call + nurse present + doctor present + Interphone option<br />
Intercom option<br />
Number of control units: .................<br />
Rooms with bathroom: no. of rooms ................. with 1 bed<br />
no. of rooms ................. with 2 beds<br />
no. of rooms ................. with ................. beds<br />
Rooms without bathroom: no. of rooms ................. with 1 bed<br />
no. of rooms ................. with 2 beds<br />
no. of rooms ................. with ................. beds<br />
Bedhead call via: push-button cord pushbutton<br />
RJ45 remote control auto-ejectable remote<br />
control<br />
Bathroom call via: pushbutton pull-cord switch<br />
Other room (shared bathroom facilities, rest areas, etc.):<br />
Type of control: .................................................................... - Qty: ..............<br />
OPTIONS<br />
No. of biomedical alarms: ....... No. of level indicators: .........<br />
No. of corridor display units: ...........<br />
Additional requirements: ..................................................................................<br />
............................................................................................................................<br />
............................................................................................................................<br />
YOUR DETAILS<br />
Estimate on<br />
request<br />
Company: ..............................<br />
. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .<br />
First name and surname: ...........<br />
. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .<br />
Address: ...............................<br />
. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .<br />
. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .<br />
Tel.: .....................................<br />
Fax: ....................................<br />
YOUR DISTRIBUTOR<br />
Company: ..............................<br />
. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .<br />
Address: ...............................<br />
. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .<br />
. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .<br />
Tel.: ....................................<br />
Fax: ....................................<br />
YOUR LEGRAND SALES<br />
REPRESENTATIVE<br />
. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .<br />
Sales office: ...........................<br />
YOUR COMMENTS<br />
….…/...…......…/...…......… Page …… /……<br />
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