NAME:	COMPANY NAME:
ADDRESS:
CITY:	STATE:
ZIP:	E-MAIL:
PHONE:	FAX:

Capacity needed:

Lift:

Speed Required in Fpm.:

Supply Voltage:
Single Phase		Three Phase
115 Volt		Single Speed	Two Speed
230 Volt		208 Volt	208 Volt
		230 Volt	230 Volt
		460 Volt	460 Volt
		575 Volt	575 Volt
Control Voltage:		24 Volt	115 Volt
Control Cable:		Ft. ( Pushbutton Drop, Standard is 4ft. Less Than Lift )
Type of Suspension:
Hook Swivel Ridgid ( standard) Lug
Trolley:	Plain	Geared	Motorized
Trolley Hand Chain Drop ( Geared Only ):			Ft.
Speed (Motorized) in Fpm. :
Single Speed:		Two-Speed
Beam Type:
I-Beam	WF-Beam	Patented Track
Beam Height:
Flange Width:
Power Cord Length in Feet: (15 Feet Standard)
Trolley Brake:
Chain Container:
Please describe the application you will be doing with the hoist:
Are there any special codes, conditions ( heat, acid, cold, corrosive products) that need to be considered: