First Name Last Name

Company Name

Phone number Fax number

Email address Web site address

Address

City State Zip

Type

Top Riding Trolley yes no
Monorail Hoist yes no
Electric Wire Hoist yes no
Electric Chain Hoist yes no

Capacity

Voltage

Amount of required lift

Do you require motorized trolley?

Existing trolley rail gage (top riding trolley only)

Existing beam dimensions that monorail hoist will ride on

To Determine the Duty Cycle

What will be the average loading and how many starts and stops per hour?

If this is to replace an existing hoist, what is the make, model and serial number of the existing hoist?
Make Model
Serial Number

Questions or Comments: