| Your Name |
|
| Title |
|
| Company Name |
|
| Division |
|
| Address 1 |
|
| Address 2 |
|
| City |
|
| State/Province |
|
| Mailing Code or Zip Code |
|
| Country |
|
| Phone |
|
| Fax |
|
| Email |
|
| May we send you periodic email with information about our products? |
Yes No |
| Your Company Web Site |
|
|
|
| How did you learn about our website? |
Literature |
|
Business Card |
|
|
|
|
|
|
|
|
|
|
| Timeline |
|
| Date you would like to receive the proposal |
|
| Date you expect to issue a purchase order |
|
| Expected installation date |
|
|
|
| Product to be lifted |
|
| Max weight of product |
|
| Capacity requested |
|
|
|
| Coil O/D min |
|
| Coil O/D max |
|
| Coil width min |
|
| Coil bores |
|
| Coil gauges |
|
| Type of product |
|
| Material |
|
| Is a turnstile used? |
Yes No |
| Turnstile opening |
|
| Width |
|
| Depth |
|
| Slit mults |
|
| Sheet length min |
|
| Sheet length max |
|
| Sheet width min |
|
| Sheet width max |
|
| Sheet stack height |
|
| Sheet gauges |
|
| Type of product |
|
| Material |
|
| Is dunage used? |
Yes No |
| Banded? |
Yes No |
| Palletized? |
Yes No |
| Pallet size |
|
|
|
| Crane Capacity |
|
| Crane hook size |
|
|
|
| Please list any other information or comments that we should know about. |
|
|
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| |
|
