Application Worksheet & Quotation Request

Please take a moment to describe your application. This form can submitted online or printed out and faxed to us at the address below. Please feel free to fax or e-mail any additional sketches, drawings, or photographs which may help us understand your project.

 

Date: Project:
Dealer: Customer: 
Contact: Contact:
Address: Address:
City: City:
State, Zip:   State, Zip: 
Phone: Phone:
Fax: Fax:
Email: Email:
Type Of Equipment Needed:
Flip-Rite    Level-Rite    Custom Lifting Beam / Device
Other:
Type Of Workpiece To Be Handled:  

FAX  OR E-MAIL A SKETCH, DRAWING OR PHOTO IF OBJECT HAS
SPECIAL HANDLING REQUIREMENTS OR AN IRREGULAR SHAPE.

Weight:  

Min. (lbs)   Max. (lbs)

Length:  

Min. (in)     Max. (in)  

Depth:  

Min. (in)     Max. (in)  

Height:  

Min. (in)     Max. (in)  

Temperature of Workpiece:  F   C

Is This In a Welding Area?  Yes  No

Type Of Sling Material Preferred: (If Applicable)

Nylon    Polyester    Metal Mesh / Chain

Other:

Note: Nylon / Polyester slings are used in standard conditions,
Metal Mesh slings are used in welding or corrosive conditions.

 

Workplace Information:
Do You Have A Overhead Crane / Hoist System?  Yes  No
If Yes, Lifting Capacity (lbs):
Hook Height From Floor (in):
Do You Want to Use 2 Crane Hooks To Lift Product?  Yes  No
Voltage Of Crane System?
115v   240v   480v   3-Phase   Other: 
Is Crane Controlled By:   Pendant   Radio   Infrared
Is Workpiece To Be Lifted Off The:  Floor    Conveyor    Worktable
Other: 
Height Of Worktable / Conveyor (in):
Condition Of Use And Environment:
Indoor     Outdoor     Corrosive    Hazardous    Painting Area
Describe any special conditions (dust, chemicals, explosives, etc.):

 

Power Requirements: (If Applicable)

Electrical  AC    DC

 Voltage:       Phase:          Cycle: 
Hydraulic Pressure:      Flow:      Line Size: 
Pneumatic (Air) Pressure:      Flow:      Line Size: 
Battery Powered Voltage Preferred:      Charging System Required?   Yes   No
Dimensions of Crane Hook- Required at time of Order
A  hook.jpg (23573 bytes)
B 
C 
D 
E 
F 
G 

 

   

If needed, please fax or email a sketch, drawing or photo of the workpiece to be handled.

ITNAC Corporation
3 Riga Lane
Birdsboro, PA 19508
Phone: (800) 774-8622 or (610) 404-0700
Fax (610) 404-0709
www.itnac.com  email: sales@itnac.com