Pallet Dispenser/Up-stacker RFQ

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Company Name*

Address*

Street Address City State ZIP Code

Contact Name*

First Last

Title*

Phone*

Email*

Project Address or Location(s)*

Why are you considering a Pallet Dispenser?*

Labor Reduction
Space Savings
Ergonomic / Safety
Optimize Productivity
Automation
Other

If other, please explain

Primary Functions?*

Dispense
Accumulate
Both

Dispense to

Accumulate from

Is the Dispenser being incorporated into an existing system?*

Pallet Design Applicable*

GMA
4-way
2-way
Block
Other

If Other, please explain

How Many Different Pallet Sizes will be Involved?*

(click the + button to the right to add more)

Length	Width	Height	Weight

Will this pallet be sorted prior to being used within the dispenser or up-stacker?*

What kind of material handling trucks will be used or are preferred?*

Hand Jack
Walker Jack
Fork-Lift
Reach Truck
Other

If Other, please explain

Is this project currently funded?*

Ideal start up or installation for the unit or project is?*

Are you interested in any leasing options?*

When is your company’s fiscal year begin/end?*

What alternatives are currently being considered for this project or application solutions?*

Security Code

Pallet Dispenser/Up-stacker RFQ

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