NOTE!:  Use your tab key to advance through the fields in the form.  Do not hit enter or return until you are ready to submit the form, thanks.

Please enter your contact information:

Your Name
Your Title
Company Name
Address
Address
City
State or Province
Country
ZIP or Postal Code
E-mail Address
Telephone & Extension
FAX

What kind of proposal do you need from Palamatic USA?:

Budget quote  Firm for purchase  Feasibility (can we do the job?) Response to RFQ (please FAX or email a copy)

Please enter your RFQ, reference number or project name:

Help us with lead tracking.  If this is a Palamatic lead please advise:

Customer name

City and State   

When do you need a reply from us?:

Please Select January February March April May June July August September October November December Please Select 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 2006 2007 2008                      

What kind of sheet material(s) do you need to handle?:

Please Select Plywood Particle board Steel plate Sheet metal - 10 gauge or less Plastic sheet Gypsum board or sheet rock Other
(use Ctrl+ to select more than one)

If other, please describe:

The material is:

Please Select Rigid Flexible Scratchable Fragile Other
(use Ctrl+ to select more than one)

What is/are the weights of the sheet(s)?:

Pounds  Kilograms

What is/are the dimensions of the sheet(s)):

Inches  Millimeters
Length:
Width: 
Thickness:

If you have more than one sheet material or size to be handled with the same system, we need specifics for the sheet material, and characteristics, weights and dimensions for each sheet.  Please enter the details below:

Please provide a brief description your process:       

Are you?

Palletizing  De-palletizing  Both  Other
If other, please describe:

The sheets need to be handled?:

Please Select Always horizontal Always vertical Pitched up and down 90 degrees If vertical or pitched, short side up If vertical or pitches, long side up Turned over 180 degrees Other

Lifting elevations, highest and lowest from the floor to the top of the sheet:

Inches  Millimeters
Lowest:
Highest:
If stacked, height of tallest stack:

Overhead information in the work area?:

Inches  Millimeters
Floor to ceiling height:
Clear overhead height:
Height to lowest obstruction:

Travel distance from pick up point to release point?:

Inches  Millimeters
Travel distance:

Are there any reach in or reach under obstructions that would prevent lifting or placing the payload directly from overhead?:

No  Yes
If yes, please describe:

Required number of lifts and transfers?:

Lifts per minute:
Hours per shift:
Shifts per day:
Days per week:

Any special electrical requirements?:

None  Explosion proof  Wash down  Outdoors Other

Available power supply?:

Voltage:
Phase:
Hz:
Amps:

We need to know what kind of filtration you will require to protect your vacuum pump.  Is the work area or are the sheets to be handled dusty or contaminated with product?:

No  Yes
If yes, please describe:

What is the ambient temperature or range of temperatures in the work area?:

Degrees F  Decrees C
Lowest:
Highest:

We need to know if you have any special requirements for our equipment manufacture for your process, such as contact parts or overall construction for wash down, corrosion resistance or sanitation?:

Please Select Painted mild steel 304 stainless contact parts 316 stainless contact parts All 304 stainless All 316 stainless GMP cGMP
(use Ctrl+ to select more than one)

Palamatic lifters are available with quick change heads to handle other types of payloads like bags, drums, cartons or other containers.  Do you need to handle other payloads with this lifter?

Yes  No
If yes, please provide as much detailed information as possible or complete an additional form from the menu at the top left of the Forms Introduction Page:

Do you need a crane for this lifter?:

Yes  No
If no, please describe your existing crane:

If yes, please continue with the Crane System selection.  If you don't need a crane, please check for completeness and send us the form.  Thank you for sending this information.

Is the installation in a seismic zone?

Yes  No

If yes, what is the Seismic Zone rating?

None 1 2 3 4 5

What kind of crane system do you need for this lifter?:

Free standing jib crane (swing arm)
Overhead mounted jib crane
Transportable jib crane
Column or wall mounted jib crane
Free standing articulated jib crane (jointed arm)
Overhead mounted articulated jib crane
Transportable articulated jib crane
Column or wall mounted articulated jib crane
Free standing bridge crane (X-Y movement)
Overhead suspended bridge crane

We need to know if you have any special requirements for the crane manufacture for your process, such as construction for wash down, corrosion resistance or sanitation?:

Please Select Painted mild steel 304 stainless steel 316 stainless steel GMP cGMP

The formula for calculating the length of the vacuum supply hose festooning is:

Bridge Length + Runway Length x 1.5 + Distance to Pump
or
Jib Length x 1.5 + Distance to Pump

So that we can help you determine the correct length of vacuum supply hose, please advise the bridge and runway or jib length in the box below.  Also, please add any information you think we need to know about the crane or any other aspect of the work area or process:

An email or FAX with a plan and elevation layout sketch or drawing, and/or digital photos will be helpful.

If we need to discuss this application with you, when would be a good time to call?:

Please check here if you want us to email you a copy of the data you submitted from this form.

Please help us prevent form spam.  Type Handling in the password field below.

  Password required and is case sensitive

Thank you!  You are done.  Please click the send request box and we will respond as soon as possible.