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To request a review, quotation, or other assistance, please fill out the form below (fields with an askerisk * are required). All information provided to us shall remain confidential.

We will never sell, trade, or exchange email addresses or other information with third parties unless specifically authorized by the client.

Please provide at minimum a hand sketch showing stair(s), gate(s) and rail locations, any special job sight conditions, existing obstructions such as doors and /or requested cutouts, etc.

Please submit or fax this completed form to 866-550-5745.

* Name

Company/Organization

Title or Position

Address

City

State

Zip Code

* Phone

Fax

* Email

What are you lifting?
Briefly describe the material/products needing to be moved.

What is the size of the load?
Provide dimensions & weight of the loads the lift will be used for.

How is material being loaded at each level?
Indicate the method of loading/unloading at each level (i.e. forklift, pallet truck, hand truck, hand, etc.

Weight capacity?
Enter the MAX weight capacity needed.  Enter only increments of 500 pounds.

lbs.

Required platform size?
The platform size should be at least 1 foot larger than the material being moved. Only enter the width and depth in feet/inches (ex. 5ft 4in. x 5ft 4in).

Width x Depth

Load/Unload Configuration?
Our lifts have up to 3 available load/unload configurations. If you are unsure the type of configuration you are looking for, click here for details on each.

Travel Height?
The travel height is the distance between the ground floor and the top level floor.  Enter the distance in feet/inches (ex. 24ft 5in, 36ft 11in).

Number of Stops?
The number of stop is the number of levels the lift will stop at for loading/unloading.  A push button station will be located at each level indicated. If more than 6 stops are required, please indicate in the Special Requirements section at the end of this RFQ.

Power Source?
All units require 3 Phase. Select the voltage available to power the lift.

Soft-Start/Soft-Stop?
For smooth transitions, we offer a feature called Soft-Start/Soft-Stop. This allows the lift platform to gradually accelerate and decelerate instead of a sudden start/stop.

Yes

No

Load Height?
Enter the height of the material being moved. Depending on the model, load heights are 72" or open.

inches

Mounting?
Our lifts may be mounted on a regular floor or in a pre-dug pit. Pit mounting helps to provide a flush surface between the ground floor and platform (ex. like a passenger elevator). Ramp mounting requires a ramp to be able to load material easily.

Optional Ramp?

Ceiling Height (above top level)?
Enter the height between the top level and the lowest obstruction where the lift will be installed, such as: roof, beams, pipes, another level, etc.

inches

Pass Through Floor?
Will this lift pass thru any openings in floors at any level?

Yes

No

Environment?
To properly determine the design/configuration of the lift, we must know the environment it will be in.

Inside

Outside

Wet

Gases

Cold

Other:

Explosion Proof?
Due to certain environment the lift will be in, some units may require explosion proof.  This is a must when working near or with explosive gases.  If this option is required, please indicate.

Yes No

Class:   Div:   Group:

Special Requirement / Comments?
Enter any additional requirements not addressed in the above questions.

Is this a budgetary quote?

Yes    No

When do you expect to buy?

    

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A-Mezz Industrial Structures, Inc. • Cleveland, Ohio 44236 • Toll Free: 888-432-2657
Phone: 330-650-5561 •


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