FEEDBACK FORM
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Customer's Name and Address :

Tel. :                   Fax :        E-mail :

Handled By Mr. / Ms.:
2. Equipment required (Please tick)
Pallets Pallets Trucks Pallet Stacker
Scissors Lift Platform Car Lift Drum Transporter
Drum Stacker Drum Tilter - Rear IPC
Drum Tilter - Front IPC Lifter Pallet Dispenser
Other
3. Specifications and Application details -

* Enclose drawing if available.

* If any standard model meets applications parameters,
   please specify the model number                                   

* If non-standard, please specify the following

Capacity : Lift :
Dimensions : Other Performance Parameters :
Load : Nature :
Size : Weight :
Traffic frequency :
4. Quantity -          Required at (Site) :
Required by (Month) :
5. Previous Order reference, if any.
P.O. No. :   dated :
From M/s. :     or
Our Order
Acknowledgement No. :    
     dated  :     or
Equipment Serial No. :

 

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