Contact Information Name*
First
Last
Email*
Phone*
Relationship to Project* [Please Select] Architect/Engineer/Consultant Distributor End User Integrator Manufacturing Rep Other
Are You Working With A Partner On This Project? [Please Select] Yes No/Unsure Tell Me More
Partner Company/Name
Partner Email
Project Information Location*
Anticipated Order Date Product What Type Of Product Do You Need? [Please Select] Pedestal Call Box Phone Software Parts Other
Choose Your Pedestal Model [Please Select] CB 1-e CB 1-s CB 1-w CB 5-s CB 5-p CB 9-s CB RT (New!)
Choose Your Call Box Model [Please Select] CB 2-a CB 2-e (New Design!) CB 2-s CB 4-s CB 4-r CB 4-u Flush Mount Enclosure (formerly CB 6-f) Surface Mount Enclosure (formerly CB 6-s)
Choose Your Phone Model [Please Select] Centry® IP Video Help Point® IP5000 VoIP Speakerphone IP2500 VoIP Speakerphone IP1500 VoIP Speakerphone (Only available in single button) IA4100 Analog Speakerphone
Choose Your Pedestal Color [Please Select] Safety Blue (standard) Safety Red Gloss Black Gloss White Bright Silver Safety Yellow Dark Bronze Custom (Additional fees will apply)
Choose Your CB RT Color [Please Select] Safety Blue powder coat paint (standard) Wet coat paint options (Additional fees will apply) Custom (Additional fees will apply)
Choose Your Call Box Color [Please Select] Safety Blue (standard) Safety Red Gloss Black Gloss White Bright Silver Safety Yellow Dark Bronze Custom (Additional fees will apply)
Choose Your Call Box Color [Please Select] Stainless Steel Safety Blue powder coat paint (CB 2-e only) Safety Blue wet coat paint Safety Red wet coat paint Gloss Black wet coat paint Gloss White wet coat paint Bright Silver wet coat paint Safety Yellow wet coat paint Dark Bronze wet coat paint Custom (Additional fees will apply)
Choose Your Call Box Color [Please Select] Safety Blue powder coat paint Safety Blue wet coat paint Safety Red wet coat paint Gloss Black wet coat paint Gloss White wet coat paint Bright Silver wet coat paint Safety Yellow wet coat paint Dark Bronze wet coat paint Custom (Additional fees will apply)
Choose Your Call Box Color [Please Select] Bright Silver powder coat paint Safety Yellow powder coat paint Wet coat paint options (Additional fees will apply) Custom (Additional fees will apply)
Choose Your Phone [Please Select] IP5000 VoIP Speakerphone IA4100 Analog Speakerphone No phone; enclosure only
How Many Buttons Do You Need? [Please Select] One Two Two With Keypad (IP5000, IA4100 only)
How Many Buttons Do You Need? [Please Select] One Two
Choose Your Main Bezel Text [Please Select] Push For Help (standard) Emergency Custom (Additional fees will apply)
Choose Your Graphics Text [Please Select] Emergency Assistance Custom (Additional fees will apply)
Choose Your Graphics Color [Please Select] Blue Black White Custom (Additional fees will apply)
Note: Do not make your graphics and enclosure the same color. (Example: Safety Blue pedestal with blue graphics.)
Choose Your Main Button Text [Please Select] Emergency Assistance Custom (Additional fees will apply)
Do You Need An Enclosure? [Please Select] Yes-Pedestal Yes-Call Box Yes-Surface Mount Yes-Flush Mount No-Phone Only
What Type Of Mount Do You Need? [Please Select] Flush Mount Surface Mount
Choose Your Power Note: Options shown may not be available for the selected build. Please reference products pages to learn more.
[Please Select] 12-24V AC/DC 120-277V AC NightCharge®/Switched Grid PoE Solar Unknown/Various
Choose Your Power Note: Options shown may not be available for the selected build. Please reference products pages to learn more.
[Please Select] 12-24V AC/DC 120-277V AC PoE Solar Unknown/Various
Choose Your Power Note: Options shown may not be available for the selected build. Please reference products pages to learn more.
[Please Select] 12-24V AC/DC PoE Unknown/Various
Options Note: Options shown may not be available for the selected model. Please reference products pages to learn more.
Options Note: Options shown may not be available for the selected model. Please reference products pages to learn more.
What Type Of Parts Do You Need? Lights Speakers Curb Mount Mounting Ring Anchor Bolt Kit Security Bits Other
Click to select; hold CTRL to select multiple products. Don't see what you need? Visit codeblue.com/request to request a Parts Catalog.
Part Number/Name
Quantity*
Do You Need Software? [Please Select] ToolVox® X3 Blue Alert® EMS Blue Alert® MNS Unknown/Other-Tell Me More Not At This Time
What Type Of Software? ToolVox® X3 Blue Alert® EMS Blue Alert® MNS
Click to select; hold CTRL to select multiple products.
What Best Describes Your Application? [Please Select] Remote units requiring a connection to your network Remote/onsite units requiring dial tone and call routing provided by Code Blue Other (Please describe below)
Hold CTRL to select multiple options
What Infrastructure Is Available? [Please Select] 4G LTE (Cellular) Coaxial cable Copper/Twisted pair (CAT 5, CAT 6, etc.) Fiber Legacy Copper (CAT 3, single pair, dual pair, etc.) Wireless/Mesh None Other (Please describe below)
If You Would Like To Utilize 4G LTE, Please Choose One Of The Following:* [Please Select] Code Blue will provide SIM cards and data plans SIM cards and data plans will be provided Other (Please describe below)
Need Another Product? Product No. 2 What Type Of Product Do You Need? [Please Select] Pedestal Call Box Phone Software Parts Other
Choose Your Pedestal Model [Please Select] CB 1-e CB 1-s CB 1-w CB 5-s CB 5-p CB 9-s CB RT (New!)
Choose Your Call Box Model [Please Select] CB 2-a CB 2-e (New Design!) CB 2-s CB 4-s CB 4-r CB 4-u Flush Mount Enclosure (formerly CB 6-f) Surface Mount Enclosure (formerly CB 6-s)
Choose Your Phone Model [Please Select] Centry® IP Video Help Point® IP5000 VoIP Speakerphone IP2500 VoIP Speakerphone IP1500 VoIP Speakerphone (Only available in single button) IA4100 Analog Speakerphone
Choose Your Pedestal Color [Please Select] Safety Blue (standard) Safety Red Gloss Black Gloss White Bright Silver Safety Yellow Dark Bronze Custom (Additional fees will apply)
Choose Your CB RT Color [Please Select] Safety Blue powder coat paint (standard) Wet coat paint options (Additional fees will apply) Custom (Additional fees will apply)
Choose Your Call Box Color [Please Select] Safety Blue (standard) Safety Red Gloss Black Gloss White Bright Silver Safety Yellow Custom (Additional fees will apply)
Choose Your Call Box Color [Please Select] Stainless Steel Safety Blue powder coat paint (CB 2-e only) Safety Blue wet coat paint Safety Red wet coat paint Gloss Black wet coat paint Gloss White wet coat paint Bright Silver wet coat paint Safety Yellow wet coat paint Custom (Additional fees will apply)
Choose Your Call Box Color [Please Select] Safety Blue powder coat paint Safety Blue wet coat paint Safety Red wet coat paint Gloss Black wet coat paint Gloss White wet coat paint Bright Silver wet coat paint Safety Yellow wet coat paint Custom (Additional fees will apply)
Choose Your Call Box Color [Please Select] Bright Silver powder coat paint Safety Yellow powder coat paint Wet coat paint options (Additional fees will apply) Custom (Additional fees will apply)
Choose Your Phone [Please Select] IP5000 VoIP Speakerphone IA4100 Analog Speakerphone No phone; enclosure only
Choose Your Phone [Please Select] IP5000 VoIP Speakerphone IA4100 Analog Speakerphone No phone; enclosure only
How Many Buttons Do You Need? [Please Select] One Two Two With Keypad (IP5000, IA4100 only)
How Many Buttons Do You Need? [Please Select] One Two
Choose Your Main Bezel Text [Please Select] Push For Help (standard) Emergency Custom (Additional fees will apply)
Choose Your Main Bezel Text [Please Select] Push For Help (standard) Emergency Custom (Additional fees will apply)
Choose Your Graphics Text [Please Select] Emergency Assistance Custom (Additional fees will apply)
Choose Your Graphics Color [Please Select] Blue Black White Custom (Additional fees will apply)
Note: Do not make your graphics and enclosure the same color. (Example: Safety Blue pedestal with blue graphics.)
Choose Your Main Button Text [Please Select] Emergency Assistance Custom (Additional fees will apply)
Do You Need An Enclosure? [Please Select] Yes-Pedestal Yes-Call Box Yes-Surface Mount Yes-Flush Mount No-Phone Only
What Type Of Mount Do You Need? [Please Select] Flush Mount Surface Mount
Choose Your Power Note: Options shown may not be available for the selected build. Please reference products pages to learn more.
[Please Select] 12-24V AC/DC 120, 240, 277V AC NightCharge®/Switched Grid PoE Solar Unknown/Various
Choose Your Power Note: Options shown may not be available for the selected build. Please reference products pages to learn more.
[Please Select] 12-24V AC/DC 120, 240, 277V AC PoE Solar Unknown/Various
Choose Your Power Note: Options shown may not be available for the selected build. Please reference products pages to learn more.
[Please Select] 12-24V AC/DC PoE Unknown/Various
Options Note: Options shown may not be available for the selected model. Please reference products pages to learn more.
Options Note: Options shown may not be available for the selected model. Please reference products pages to learn more.
What Type Of Parts Do You Need? Lights Speakers Curb Mount Mounting Ring Anchor Bolt Kit Security Bits Other
Click to select; hold CTRL to select multiple products. Don't see what you need? Visit codeblue.com/request to request a Parts Catalog.
Part Number/Name
Quantity
Do You Need Software? [Please Select] ToolVox® X3 Blue Alert® EMS Blue Alert® MNS Unknown/Other-Tell Me More Not At This Time
What Type Of Software? ToolVox® X3 Blue Alert® EMS Blue Alert® MNS
Click to select; hold CTRL to select multiple products.
Need Another Product? Product No. 3 What Type Of Product Do You Need? [Please Select] Pedestal Call Box Phone Software Parts Other
Choose Your Pedestal Model [Please Select] CB 1-e CB 1-s CB 1-w CB 5-s CB 5-p CB 9-s CB RT (New!)
Choose Your Call Box Model [Please Select] CB 2-a CB 2-e (New Design!) CB 2-s CB 4-s CB 4-r CB 4-u Flush Mount Enclosure (formerly CB 6-f) Surface Mount Enclosure (formerly CB 6-s)
Choose Your Phone Model [Please Select] Centry® IP Video Help Point® IP5000 VoIP Speakerphone IP2500 VoIP Speakerphone IP1500 VoIP Speakerphone (Only available in single button) IA4100 Analog Speakerphone
Choose Your Pedestal Color [Please Select] Safety Blue (standard) Safety Red Gloss Black Gloss White Bright Silver Safety Yellow Dark Bronze Custom (Additional fees will apply)
Choose Your CB RT Color [Please Select] Safety Blue powder coat paint (standard) Wet coat paint options (Additional fees will apply) Custom (Additional fees will apply)
Choose Your Call Box Color [Please Select] Safety Blue (standard) Safety Red Gloss Black Gloss White Bright Silver Safety Yellow Custom (Additional fees will apply)
Choose Your Call Box Color [Please Select] Stainless Steel Safety Blue powder coat paint (CB 2-e only) Safety Blue wet coat paint Safety Red wet coat paint Gloss Black wet coat paint Gloss White wet coat paint Bright Silver wet coat paint Safety Yellow wet coat paint Custom (Additional fees will apply)
Choose Your Call Box Color [Please Select] Safety Blue powder coat paint Safety Blue wet coat paint Safety Red wet coat paint Gloss Black wet coat paint Gloss White wet coat paint Bright Silver wet coat paint Safety Yellow wet coat paint Custom (Additional fees will apply)
Choose Your Call Box Color [Please Select] Bright Silver powder coat paint Safety Yellow powder coat paint Wet coat paint options (Additional fees will apply) Custom (Additional fees will apply)
Choose Your Phone [Please Select] IP5000 VoIP Speakerphone IA4100 Analog Speakerphone No phone; enclosure only
Choose Your Phone [Please Select] IP5000 VoIP Speakerphone IA4100 Analog Speakerphone No phone; enclosure only
How Many Buttons Do You Need? [Please Select] One Two Two With Keypad (IP5000, IA4100 only)
How Many Buttons Do You Need? [Please Select] One Two
Choose Your Main Bezel Text [Please Select] Push For Help (standard) Emergency Custom (Additional fees will apply)
Choose Your Main Bezel Text [Please Select] Push For Help (standard) Emergency Custom (Additional fees will apply)
Choose Your Graphics Text [Please Select] Emergency Assistance Custom (Additional fees will apply)
Choose Your Graphics Color [Please Select] Blue Black White Custom (Additional fees will apply)
Note: Do not make your graphics and enclosure the same color. (Example: Safety Blue pedestal with blue graphics.)
Choose Your Main Button Text [Please Select] Emergency Assistance Custom (Additional fees will apply)
Do You Need An Enclosure? [Please Select] Yes-Pedestal Yes-Call Box Yes-Surface Mount Yes-Flush Mount No-Phone Only
What Type Of Mount Do You Need? [Please Select] Flush Mount Surface Mount
Choose Your Power Note: Options shown may not be available for the selected build. Please reference products pages to learn more.
[Please Select] 12-24V AC/DC 120, 240, 277V AC NightCharge®/Switched Grid PoE Solar Unknown/Various
Choose Your Power Note: Options shown may not be available for the selected build. Please reference products pages to learn more.
[Please Select] 12-24V AC/DC 120, 240, 277V AC PoE Solar Unknown/Various
Choose Your Power Note: Options shown may not be available for the selected build. Please reference products pages to learn more.
[Please Select] 12-24V AC/DC PoE Unknown/Various
Options Note: Options shown may not be available for the selected model. Please reference products pages to learn more.
Options Note: Options shown may not be available for the selected model. Please reference products pages to learn more.
What Type Of Parts Do You Need? Lights Speakers Curb Mount Mounting Ring Anchor Bolt Kit Security Bits Other
Click to select; hold CTRL to select multiple products. Don't see what you need? Visit codeblue.com/request to request a Parts Catalog.
Part Number/Name
Quantity
Do You Need Software? [Please Select] ToolVox® X3 Blue Alert® EMS Blue Alert® MNS Unknown/Other-Tell Me More Not At This Time
What Type Of Software? ToolVox® X3 Blue Alert® EMS Blue Alert® MNS
Click to select; hold CTRL to select multiple products.
Additional Information Tell Us More About How We Can Help
Tell Us More About How We Can Help
Other Products, Requirements Or Specifications For This Project
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