Email Address (Required)

Name (first, mi, last)
Title
Department
Company
Street Address
City
State
Zip
Phone number (please include area code and extension)
Fax

Standard Industry Code (SIC)

My project will start immediately (date):
My project will start in the future (month, year):

SPECIFICATIONS:
TYPE OF RACK DESIRED
Cantilever Racks
Drum Storage and Handling Solutions
Modular Bar/Coil Racks
Stacking Frames
Pallet Stacking Frames
Mobile Equipment
Roll-Out Shelving
Engineered Rack Applications
Boltless Structural Pallet Rack
Steel Pallet
Other type of rack (please describe below):

Quantities
Capacity
Length (outside)
Width (outside)
Height (clear inside)
Deck type: Wood Open Steel Other
Stacking height required
Entry: 2-way 4-way
Paint color
Special label

COILS:
Length (min., max.)
Diameter (min., max.)
ID

PRODUCTS TO BE STORED
Please provide a brief description: Shape, size, weight, etc.)

RACK USE
Storage
Production
Shipping
Other (please describe below)

Are there any unusual loading conditions (leaning load, spreading pressure, etc.) Please describe below

HANDLING
A) FORK TRUCK: Yes No
Truck capacity:
Lift height:
Length of forks:
Maximum fork width:

B) CRANE: Yes No

Capacity
Operated from: Floor Cab
Height under hook
Type of lifting devise used

REMARKS AND OTHER INFORMATION
Please provide any additional information you feel may be of benefit

QUOTE
Budget
Purchase — Estimated purchase date
Requote rack number

SAMPLES REQUIRED Yes No
Quantity required