Please complete and submit this form to our sales department with all the required information to allow us to quote you on a quality used lift truck Type: Choose a Type Cushion Tire - indoor Pneumatic Tire - outdoor Electric Sit-down Four Wheeler Electric Sit-down Three Wheeler Electric Walkie Pallet Jack Rough Terrain Narrow Aisle Reach Electric Order Picker Capacity: 2,000 lb. 3,000 lb. 4,000 lb. 5,000 lb. 5,500 lb. 6,000 lb. 8,000 lb. 10,000 lb. 12,000 lb. 15,000 lb. 20,000 lb. + Manufacturer: Any Manufacturer Caterpillar Clark Crown Daewoo Factory Cat Halla Hyster Komatsu Hyundai Mitsubishi Nissan Prime Mover Raymond TCM Toyota Yale Fuel Type: Any Type Propane Gasoline LPG/Gasoline Dual Fuel Diesel Natural Gas Electric Charger: Not Required 110VAC Single Phase 220VAC Single Phase 220VAC Three Phase 480VAC Three Phase 600VAC Single Phase 600VAC Three Phase Other - specify below Mast Type: Any Mast Quad Three Stage Two Stage Two Stage Full Free Lift Maximum Lift Height: Inches Lowered Height: Inches Sideshift: No Yes Truck Usage: hours per week Budget Amount: Undecided $5,000 or less $6,000 or less $7,000 or less $8,000 or less $9,000 or less $10,000 or less $11,000 or less $12,000 or less $13,000 or less $14,000 or less $15,000 or less $20,000 or less $30,000 or less $40,000 or less $50,000 or less Other information: Name: Company Name: Address: City, Province/State, Country: Business Phone: Fax: Email: Preferred method of contact Telephone: Fax: Email:
Type: Choose a Type Cushion Tire - indoor Pneumatic Tire - outdoor Electric Sit-down Four Wheeler Electric Sit-down Three Wheeler Electric Walkie Pallet Jack Rough Terrain Narrow Aisle Reach Electric Order Picker
Capacity: 2,000 lb. 3,000 lb. 4,000 lb. 5,000 lb. 5,500 lb. 6,000 lb. 8,000 lb. 10,000 lb. 12,000 lb. 15,000 lb. 20,000 lb. +
Manufacturer: Any Manufacturer Caterpillar Clark Crown Daewoo Factory Cat Halla Hyster Komatsu Hyundai Mitsubishi Nissan Prime Mover Raymond TCM Toyota Yale
Fuel Type: Any Type Propane Gasoline LPG/Gasoline Dual Fuel Diesel Natural Gas Electric
Charger: Not Required 110VAC Single Phase 220VAC Single Phase 220VAC Three Phase 480VAC Three Phase 600VAC Single Phase 600VAC Three Phase Other - specify below
Mast Type: Any Mast Quad Three Stage Two Stage Two Stage Full Free Lift
Maximum Lift Height: Inches
Lowered Height: Inches
Sideshift: No Yes
Truck Usage: hours per week
Budget Amount: Undecided $5,000 or less $6,000 or less $7,000 or less $8,000 or less $9,000 or less $10,000 or less $11,000 or less $12,000 or less $13,000 or less $14,000 or less $15,000 or less $20,000 or less $30,000 or less $40,000 or less $50,000 or less
Other information:
Name:
Company Name:
Address:
City, Province/State, Country:
Business Phone:
Fax:
Email:
Preferred method of contact Telephone: Fax: Email:
