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       GANTRY AND JIB CRANES  A professional will evaluate your needs and provide you with more information.
            Make sure you get the perfect Gantry Crane for your application!

            Complete and return this form to the factory or your distributor.


                          AHS / AHA
                        GANTRY CRANES
                                                                  CUSTOMER INFORMATION
                         SURVEY SHEET
                                                                  Inquiry Date: __________________________________

                                                                  Contact: ______________________________________
                                                                  Company: ____________________________________
                                                                  Phone: _______________________________________
                                                                  Email: ________________________________________



                                                                  SPECIFICATIONS
                                                                  Base model (if known): _________________________
                                                                  Material:  __________ Aluminum  ___________Steel

                                                                  Capacity: _____________________________________
                                                                  Beam Length: _________________________________

                                                                  Height:  __________Fixed  ___________ Adjustable

                                                                  Overall Height Clearance: ______________________
                                                                  Overall Work Envelope: ________________________

                   www.vestil.com     Ph: 260-665-7586            _______Portable
                   info@vestil.com    Fax: 260-665-1339                  Caster Type: ______Standard _______Other
              Is this a repeat quote or repeat order? If yes, please indicate.
              Prev. Quote No.: ____________ Prev. Order No.: ___________  _______Stationary
                                                                         Floor Mount: ______

            Loading Application:  ________________________________________________________________________________

            ____________________________________________________________________________________________________
            ____________________________________________________________________________________________________

            ____________________________________________________________________________________________________


            ACCESSORIES

                    TROLLEY
                               Manual                          Geared

                    HOIST

                               Manual (Chain)                  Electric (1 or 3 phase)

                    POWER TRACTION DRIVE                       V-TRACK

                    COME-A-LONG KIT                            FESTOON KIT
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