Lift Table/scissors Mechanism Covers-Quote Request Form
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1
2PROTECTIVE COVERS
LIFT TABLE/SCISSORS MECHANISM COVERS
|
QUOTE REQUEST FORM
Date
Address ____________________________________________
_______________________________________________________
Company Name
______________________________________
City ____________________________ State/Prov. __________
Contact
_____________________________________________
Country ____________________ Zip/Postal Code __________
Quantity
____________________________________________
Telephone ___________________ Fax ___________________
Email _______________________________________________
1. Application Information
Bellows For:
New Cover Design
Replace Existing Cover
Environment:
Clean Room*
Antimicrobial Agents*
Sparks
Grease
Washdown*
Fire Retardant*
Dust Cover
Other ___________________________
Movement:
Lateral (Shear) Movement* (please send sketch of movement)
Tilt (please specify degree of tilt: ___________ )
* Gorframe™ is used in applications with lateral shear movement. Gorframe is generally used for washdown, clean room, or where materials must meet
specifications, such as fire retardant or antimicrobial.
2. Cover Construction Type
Cover Type:
Liftgard™
Gorframe™
Sewn
Application-based recommendation
3. Lift Table Dimensions
A
B
Dimensions specified in:
in
mm
E
(A) Table Width: ____________
(E) Table Height:
____________
(B) Table Length: ____________
(F) Base Height:
____________
(C) Base Width:
____________
(RH) Raised Height:
____________
RH
(D) Base Length: ____________
(LH) Lowered Height: ____________
LH
4. Cover Venting and Options
F
(Please check options desired)
Venting*
For venting considerations, provide maximum
D
C
lift speed: ________________ (inches/second)
Maintenance Straps
Zipper (for quick installation – a zipper is standard on Liftgard covers)
* Vents are required if base and table mounts do not allow for air exhaust. Liftgard covers already incorporate a venting system. Depending on speed,
additional venting may be required.
5. Cover Location (Bellows Orientation)
(Please select one)
Outside Cover Location
Inside Cover Location
Other Cover Location
(proceed to “Outside Cover Mount” on next page)
(proceed to “Inside Cover Mount” on next page)
(contact Dynatect)
To Scissors
Table
Table
Base
Base
Are there any clearance issues on any side of
Shortest distance between scissors mechanism and
the lift table?
No
Yes (provide sketch)
outside edge of table top: ______________ (required)
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Phone: 262-786-1500 or 800-298-2066 | Fax: 262-786-3280 | Email: |
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