RonI

General Inquiry Form

Customer Information Click Here to Print this Form as a PDF and Fax to RonI
Dealer:
Dealer Name:
Company:
Contact:
Title:
Email:
Email where RFQ copy will be sent:
Phone:   Ext.:
Fax:
Mobile:
Address:
Address Cont:
City:
State:
Zip Code:

Quotation Type

Order of Magnitude: Budget Pricing: Firm Pricing:

 

1. Application Type (Product Handling)

Type:
Roll:
Coil:
Barrel:
Other:
Quantity:
Number of
Different Sizes:
Size:
Outside ø:
Inside ø:
Height/Length:
Maximum Weight:
Grab By:
Outside ø:
Inside ø:
Other:
Orientation:
Orientation For Pick-Up:
Deposit:
Sample:
Attachment:
Include a drawing or picture of the product(s)
to be handled

Weighting:

Max/Min:
Maximum Weight:
Minimum Weight:
Resolution:
Accuracy (+/-):
Count:
Count/Weigh:

Tote Handling:

Size:
Length:
Width:
Height:
Weight:
Access By:
Under Tote:
Lid:
Overhang/Lip of Tote:
Stacking:
Stackable?:
Quantity High:
Sample:
Attachment:
Include a drawing or picture of the product(s)
to be handled

Other:

Size:
Length:
Width:
Height:
Weight:
Comments:
Describe the product(s) to be handled:

 

2. Lift Requirements:

Lifting Height:
Minimum:
Maximum:
Finish:
Powder Coated Paint/Anodized:
Stainless Steel/Anodized:
Lifts/Shifts:
Estimated Number of Lifters Required:
Lifts per Hour:
Number of Shifts:

 

3. Transport Requirements:

Loops:
Length of Transport Loop (Feet):
Number of Stops:
Trips per Hour:
Floor/Aisle:
Floor surface Conditions:
Aisle Restrictions:
Width:
Max width of Lifter (Inches):

 

Attachment:

Attach a sketch showing clearances if form information needs expanded:

 

Notes:

Notes/Comments:

 

The LIFT-O-FLEX® can help eliminate and/or reduce Workman's Compensation Risks, increase efficiency and productivity through a safer and healthier workplace.