Lifter Quote/Information Request

Lifter Info/Quote Request Form:

Please fill out the form below to the best of your ability. If you do not know the information for a section, or you feel it is not relevant please leave it blank. Not all fields on this form are relevant to every application.

Is this a request for a: Quote or is it for Informational purposes?

If this is a Quote Request, what date do you require a Quote By:

Based on your information below, would you like to receive an ANVER Literature Packet: Yes

Lifter Number:


Contact Information:
Name*:
Company*: (If no company affiliation, enter "NONE"):
Address 1:
Address 2:
City:	State: Zip: -
Country:
Phone:	Fax:
E-Mail*:
* Denotes Required Field

Material Specifications:

Material to be lifted* -
*You may enter a more detailed description of the material in the notes section below.

Dimensions:	Max. Length:	Min. Length:
	Max. Width:	Min. Width:
**Thickness: Height for boxes.	Max:	Min:
Weight:	Max:	Min:
Material Temp.:	Max.	Min:
** Dimensional specifications are critically important in determining the correct lifter for your specific application.

Load Orientation: (check all that apply)

1
	Horizontal Lift

2
	Vertical Lift

3
	Vertical Lift and Rotation

4
	90° Tilting usually fully powered

5
	90° Gravity Tilt pivots on edge, used in the Stone industry

6
	180° Tilting rare, 90° tilt is usually adequate

7
	Side-Grip can replace flippers, many styles

8
	Side-Grip and Rotate can replace flippers, many styles

9
	360° Tilt (Flipper) rare, usually fully powered

10
	90° Tilting with Rotation for versatile manipulation

Required Power Source: (check any you are interested in)

Mechanical (for 'Horizontal Lift' applications only) Electric Air Battery Don't Know

Required Voltage:

Crane/Hoist:

Do you require one or more of the following: Crane Hoist

Tube Lift Systems:
Trolley Saddle Height: Stack Height - Max: Min:
Additional Info:

Once you have completed as much of this form as possible please click on the submit button below. Your form will be submitted to one of our capable application engineers for processing and you will be contacted shortly.

ANVER Corporation
36 Parmenter Road
Hudson, MA 01749

Toll Free:
Tel:
Fax:
Home Page:
E-mail:

800-654-3500 - US & Canada only
978-568-0221
978-568-1570
www.anver.com

ANVER Corp., 36 Parmenter Rd, Hudson, MA 01749 USA - Tel: 800-654-3500 - +1-978-568-0221 - Fax: +1-978-568-1570
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