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TECHNICAL QUOTE FORM
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Please use this form if you DO NOT KNOW what you are looking for!
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Title: Mr. Mrs. Ms. Miss Name:
Company Name (if applicable): Title (optional):
Phone: Area code + number Fax:
Please fill out as much information as you can below. If you would like
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Wheel Diameter: Tread width: Wheel Material
If you do not know what material you need, please check this box
Please explain your floor conditions in detail here:
Swivel / Qty: Rigid / Qty: Swivel/with brake /Qty:
Fastener Type:Top plate Threaded stem Friction ring Square stem
Round stem Hollow king pin Expanding stem Pipe thread Scaffold stem
Fastener size required:
Special Height: Height doesn't matter!
Load Capacity: I need to carry a Total Load of:lbs OR
I need Each Caster to carry at leastlbs each.
Brake Options:Total lock (swivel + wheel) Side brake Thumbscrew
Tread brake (brakes wheel from top) Direction lock (locks swivel only)
Other Features: Please check all that apply!
Shock absorbing Dual wheel Stainless Steel
High-temperature 2 pos. swivel lock 4 pos. swivel lock Non-corrosive
fully sealed for clean rooms NSF approved
other please explain:
Please use this section to give us any additional information you feel
will help us determine the correct caster for your application.
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