Inplant ApplicationInplant Application HiddenDate MM slash DD slash YYYY Contact InformationName*Email Company*Location* United States InternationalAddress* Street City Zip Code State*Select StateAlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingAddress* Street City CountryAfghanistanAlbaniaAlgeriaAmerican SamoaAndorraAngolaAnguillaAntarcticaAntigua and BarbudaArgentinaArmeniaArubaAustraliaAustriaAzerbaijanBahamasBahrainBangladeshBarbadosBelarusBelgiumBelizeBeninBermudaBhutanBoliviaBonaire, Sint Eustatius and SabaBosnia and HerzegovinaBotswanaBouvet IslandBrazilBritish Indian Ocean TerritoryBrunei DarussalamBulgariaBurkina FasoBurundiCabo VerdeCambodiaCameroonCanadaCayman IslandsCentral African RepublicChadChileChinaChristmas IslandCocos IslandsColombiaComorosCongoCongo, Democratic Republic of theCook IslandsCosta RicaCroatiaCubaCuraçaoCyprusCzechiaCôte d'IvoireDenmarkDjiboutiDominicaDominican RepublicEcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEswatiniEthiopiaFalkland IslandsFaroe IslandsFijiFinlandFranceFrench GuianaFrench PolynesiaFrench Southern TerritoriesGabonGambiaGeorgiaGermanyGhanaGibraltarGreeceGreenlandGrenadaGuadeloupeGuamGuatemalaGuernseyGuineaGuinea-BissauGuyanaHaitiHeard Island and McDonald IslandsHoly SeeHondurasHong KongHungaryIcelandIndiaIndonesiaIranIraqIrelandIsle of ManIsraelItalyJamaicaJapanJerseyJordanKazakhstanKenyaKiribatiKorea, Democratic People's Republic ofKorea, Republic ofKuwaitKyrgyzstanLao People's Democratic RepublicLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMacaoMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMartiniqueMauritaniaMauritiusMayotteMexicoMicronesiaMoldovaMonacoMongoliaMontenegroMontserratMoroccoMozambiqueMyanmarNamibiaNauruNepalNetherlandsNew CaledoniaNew ZealandNicaraguaNigerNigeriaNiueNorfolk IslandNorth MacedoniaNorthern Mariana IslandsNorwayOmanPakistanPalauPalestine, State ofPanamaPapua New GuineaParaguayPeruPhilippinesPitcairnPolandPortugalPuerto RicoQatarRomaniaRussian FederationRwandaRéunionSaint BarthélemySaint Helena, Ascension and Tristan da CunhaSaint Kitts and NevisSaint LuciaSaint MartinSaint Pierre and MiquelonSaint Vincent and the GrenadinesSamoaSan MarinoSao Tome and PrincipeSaudi ArabiaSenegalSerbiaSeychellesSierra LeoneSingaporeSint MaartenSlovakiaSloveniaSolomon IslandsSomaliaSouth AfricaSouth Georgia and the South Sandwich IslandsSouth SudanSpainSri LankaSudanSurinameSvalbard and Jan MayenSwedenSwitzerlandSyria Arab RepublicTaiwanTajikistanTanzania, the United Republic ofThailandTimor-LesteTogoTokelauTongaTrinidad and TobagoTunisiaTurkmenistanTurks and Caicos IslandsTuvaluTürkiyeUS Minor Outlying IslandsUgandaUkraineUnited Arab EmiratesUnited KingdomUnited StatesUruguayUzbekistanVanuatuVenezuelaViet NamVirgin Islands, BritishVirgin Islands, U.S.Wallis and FutunaWestern SaharaYemenZambiaZimbabweÅland Islands Country Region*Select RegionCentral AmericaSouth AmericaOtherLoad DetailsPlease provide a description of the applicationHow many units are required?How many cycles per day?Cycle: The amount of time to it takes to raise and lower a lift; the amount of time between motor starts.What is the weight of the load?How will the lift be loaded/unloaded?How will the lift be loaded/unloaded?By HandConveyorPallet JackForkliftOtherPlease describe how the lift will be loaded/unloadedPlatform DetailsPlatform Dimensions Width (A): Length (B): Travel Requirements Vertical Travel (C): Lowered Height (D): Raised Height (E): Vertical Travel: The difference (the subtraction of…) between raised height and lowered height; how much vertical distance the platform moves as measured from the top of the platform in the lowered position to the top of the platform in the raised position.Raised Height: The vertical dimension from the ground (surface that the lift is anchored to) to the top of the platform; overall height.Mount & Operation DetailsHow will the lift be mounted?How will the lift be mounted?SurfacePit MountedPortable (moving empty)Transporting (moving load)OtherWhat power is available to operate the lift?What power is available to operate the lift?3 Phase 230V, 60Hz3 Phase 460V, 60Hz1 Phase 115V, 60Hz1 Phase 230V, 60HzOtherPit DimensionsWhat type of controls are required?What type of controls are required?Pendant PushbuttonMounted PushbuttonFoot SwitchOtherControl devices including pushbutton stations and foot switches that when pressed move the equipment up or down.What type of control enclosure?What type of control enclosure?Standard/Utility DutyRain/Water ProofOil TightOtherThe assembly of components such as motor controllers; overload relays; fused disconnect switches; and circuit breakers in a NEMA rated cabinet that provide output signals to operate the equipment.Optional AdditionsWill there be any options added to the Platform?Please select all that apply. See our design options for more details. Turntable Accordion Skirt Conveyor Handrails Throwover Bridge Shuttle Deck "V" Deck Bevel Toe Guard Non skid surface Tilter OtherShuttle Deck: Platform extensions."V" Deck: A cradle for securing rolled material like Coils.What other options should be added to the Platform?For further assistance with your application requirements call Autoquip Sales at 1-888-811-9876.CAPTCHA