Heavy Lift Application Sheet

Name: *

Company Name: *

Address: *

City: *

State: *

Zipcode: *

Phone #: *

Fax #:

Email: *

What is the total load in tons you need to move?:

What are you going to do?:

Lift The Load

Push The Load

Pull The Load

Lower The Load

How many lifting points do you require?:

What is the clearance for lifting and placing jacks?:

How high / far do you need to move the load?:

How many times will you need to do this task?:

Do you have a time requirement to do this task?:

Will the equipment you use need to be calibrated for the job?:

How critical to the job is moving the load precisely and accurately?:

Once the load is lifted, will you need to move the load ?:

Do you know the center of gravity for the load ?:

Do you want to rent or buy the equipment to do this job ?:

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