Elevator Questionnaire

Please fill this form in as accurately as possible to allow us to deal with your enquiry more effectively. For dimensions please specify mm or inches.
	Date	17 May 2008
	Company Name
	Address
	Address 2
	Address 3
	Address 4
	Post Code
	Country
	Email Address
	Contact name
	Phone No.
	Fax Number
	Elevator Location
	Full product Description
	Size
	Moisture Content
	Density
	Temperature
	Capacity Required
	Elevator Height
	Head Pulley Diameter
	RPM
	Boot Pulley Diameter
	Width
	Head Shaft Diameter
	Boot Diameter
	Belt Width
	Speed
	Trunking Size
	Width
	Depth
	Existing bucket Size
	Bucket Spacing
	Existing Motor Power
	Feed Direction
	Make of Elevator
	Head Type
	Please enter the first and last characters/numbers from "M3D3E6RJF96905D"