Millennium Engineering, P.C.

Online Form

The following form facilitates the process of requesting a quote and/or commencing work on a project. Once the form is filled out and submitted, you will receive a copy of the form via email for your records and an email quote will be provided to you within 24 hours. No work will commence without appropriate authorization from the client. We look forward to servicing your needs. Our goal is total customer satisfaction. Please fill out form with as much information as you have readily available. Thank you.

Name:
Title:
Company:
Address:
City:
State:
Zip:
Email:(required)
Telephone:
Fax:
Authorization:
Please provide quote only Quote on file or prior agreement made

Type of Service Requested (Check all that apply)
RF Safety FCC Compliance (EMF)	Interference/Intermod Analysis
AM Study/Detuning	FAA Screening Certification
RF Design Evaluation/Report	Noise Compliance Certification
Test Transmission	Balloon Test
Expert Witness Testimony Scheduled Public Meeting Dates:
OTHER:
Requested Completion Date for Engineering Reports:
Name and Address Report should be addressed: (if other than originator)

Site Information
Site Name/Designation:
Site Address:
City:
State:
Zip:
Township/Municipality:
County:
Site Coords:
Source of coords: Certified Survey GPS Scaled from Topo other Datum: NAD27 NAD83 other:
Note: if certified survey, please specify accuracy level or furnish copy of certified survey.
Ground Elevation: feet AMSL
Support Structure Height: feet AGL
Overall Structure Height (including any appurtenances i.e. lightning rod, antennas): feet AGL.
Antenna Structure Type: Lattice Monopole Watertank Building Other Please Specify:
Antenna Support Structure: Existing Structure Proposed Structure [choose one] Structure Owner/Contact/Phone#:

Antenna Information
Antenna System Status [choose one]: Proposed antenna system on proposed support structure Proposed antenna system collocation on existing support stucture Modification to existing antenna configuration
Antenna Height: feet AGL C/L Tips [check one]
Antenna Make/Model: Omni Directional [check one]
Number of faces:
Azimuth:
Number of antennas per face:
Frequency Band: cellular PCS both other: [check one]
Technologies: CDMA GSM TDMA IDEN Analog other:
GSM/TDMA/IDEN/Analog
Max ERP per channel:
Initial/Max # of radios per face:
CDMA
Initial # of CDMA Channels:
Max # of CDMA Channels:
Max Power at base radio/amplifier:
Initial Downtilt:
Mechanical Electrical [check one]
For rooftop antenna installations, please briefly specify location of antenna mounting, occupational worker exposure proximity to antennas, etc. (attach copy of roof layout if available)
For collocations, please specify any readily available info about other wireless entities (antenna types, # of antennas, heights, etc)

Additional Comments