(Vertical Screw)

Please Submit the following information for a quote on a
Screw Lift®.

 

Customer Information

Fields marked with an * are required fields.

*Company: *Date: *Quote Due:
*Address: *City: *State:   *Zip:
*Contact: *Telephone: Ext.:
*Fax: *E-mail: Local Distributor:
    Distributor/Rep Contact:

  

Please Note:

If this is one of several data sheets/different units being submitted
for one quote, please check box:

# of data sheets submitted:

Material Characteristics

*Type: *Weight: *Capacity:  Temp: Moisture:

  Installation

New:   Replacement:    Indoor:   Outdoor:   Lift Height:

Type (Per Catalog 289):   "G":   "C":   "E":   "H":   "J":

Size:   6":   9":   12":

Type "G" Feeder Length:      OR     Type "C" Feeder Length:

Material of Construction

Carbon Steel:   304 Stainless Steel:   Galvanized:

Additional Information