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Parts and Services Inquiry Form

Contact Information

Name:
Company:
Job Title:
Web Site (If available)
E-mail:
Phone:
Fax:
Address1:
Address2:
City:
Province:
Zip Code:
Country:
Description:
Frame Identification Stamp
Fabrication No.
Jack Housing Name Plate
Capacity: Kg
Type:
Serial No.
Year:
Fabrication No.
Gear Case Name Plate
Type:
Serial Number:
HP:
Ratio:
Motor Name Plate
Serial No.
Phase:
Hz:
HP:
RPM:
Voltage:
AMPS:
Temp Rise: Centigrade
Insul:
Control Unit
Portable:
Lifts:
4 8
Fixed: 6
Capacity: Kg
Type:
Serial No.
Year:
Voltage:
Hz
Parts Required
Item Number:
Quantity:
Item Number:
Quantity:
Item Number:
Quantity:

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