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

Capacity needed:

Speed:

Supply Voltage:
Single Phase	Three 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 )
Beam Height:
Flange Width:
Trolley Brake:
Are there any special codes, conditions ( heat, acid, cold, corrosive products) that need to be considered: