New Lift Quotation Form

Name(required)

Email(required)

Position

Business Name

Lift Location - Address Line 1(required)

Address Line 2

Address Line 3

Address Line 4

Postcode(required)

Telephone(required)

Closing date for the quote(required)

How many lifts are required(required)

Will all lifts be located at the same address?(required)

If no, please provide postcodes for each location

Where is the lift to be installed? (E.g. home, office, hotel, nursing home etc.)(required)

What will the lifts be transporting?(required)

Weight the lift is required to manage (No. of people or weight in KG)(required)

What type of lift do you require?(required)

What type of lift technology do you require?(required)

Do you have space under and/or above for a pit/mechanics?(required)

How many floors will the lift be required to travel?(required)

Target installation date(required)

Any special requirements for the lift?(required) No

Fire Fighting

Vandal resistant

MegaSpace

Car Lift

Medical Usage

Earthquake resistant

Additional Notes