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Please enter your contact information:

Your Name
Your Title
Company Name
Address
Address
City
State or Province
Country
ZIP or Postal Code
E-mail Address
Telephone & Extension
FAX

What kind of proposal do you need from Palamatic USA?:

Budget quote  Firm for purchase  Feasibility (can we do the job?) Response to RFQ (please FAX or email a copy)

Please enter your RFQ, reference number or project name:

Help us with lead tracking.  If this is a Palamatic lead please advise:

Customer name

City and State   

When do you need a reply from us?:

Please Select January February March April May June July August September October November December Please Select 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 2006 2007 2008                      

Describe the handling job you need to do:
(Please provide as much detail as possible.)

What is the material, product or payload to be handled?
(Please provide as much detail as possible.)

What is/are the weights of the payloads(s)?:

Pounds  Kilograms

What is/are the dimensions of the payload(s):

Inches  Millimeters
Length:
Width: 
Height:

If you have more than one payload to be handled with the same system, we need specifics for the material, characteristics, weights and dimensions for each payload.  Please enter the details below:

Please provide a brief description your process:       

Yes  No

Or, parts are handled randomly?

Yes  No

If needed, is it OK to have tool adjustments or interchangeable tooling for different sized parts?

Yes  No

Lifting elevations, highest and lowest from the floor to the grip area of the payload:

Inches  Millimeters
Lowest:
Highest:

Travel distance from pick up point to release point?:

Inches  Millimeters
Travel distance:

Are there any reach in or reach under obstructions that would prevent lifting or placing the payload directly from overhead?:

No  Yes
If yes, please describe:

Required number of lifts and transfers?:

Lifts per minute:
Hours per shift:
Shifts per day:
Days per week:
Time allowed for handling:(seconds)
What other duties must the operator perform?

Any special electrical requirements?:

None  Explosion proof  Wash down  Outdoors Other

Available electrical power supply?:

Voltage:
Phase:
Hz:
Amps:

Available plant air supply?:

Minimum sustainable PSI
Flow rate in SCFM

Is the air lubricated?

Yes  No

What is the ambient temperature or range of temperatures in the work area?:

Degrees F  Degrees C
Lowest:
Highest:

We need to know if you have any special requirements for our equipment manufacture for your process, such as contact parts or overall construction for wash down, corrosion resistance or sanitation?:

Please Select Painted mild steel 304 stainless contact parts 316 stainless contact parts All 304 stainless All 316 stainless GMP cGMP
(use Ctrl+ to select more than one)

Is the installation in a seismic zone?

Yes  No

If yes, what is the Seismic Zone rating?

None 1 2 3 4 5

Do you need a crane for this application?

Yes  No

What kind of crane system do you need for this lifter?:

Free standing jib crane (swing arm)
Overhead mounted jib crane
Transportable jib crane
Column or wall mounted jib crane
Free standing articulated jib crane (jointed arm)
Overhead mounted articulated jib crane
Transportable articulated jib crane
Column or wall mounted articulated jib crane
Free standing bridge crane (X-Y movement)
Overhead suspended bridge crane

We need to know if you have any special requirements for the crane manufacture for your process, such as construction for wash down, corrosion resistance or sanitation?:

Please Select Painted mild steel 304 stainless steel 316 stainless steel GMP cGMP

Please add any information you think we need to know about the crane or any other aspect of the work area or process:

For complex handling applications we need as much information as you can provide:  parts drawings, machine drawings, fixture drawings, layout & elevation drawings, time cycles,  samples of parts, photos of the work area, plant standards, videotape of present handling operation and work area and digital photos to properly evaluate the best solution.

If we need to discuss this application with you, when would be a good time to call?:

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