Dealers Of

Proud Member of

Chsa
nfcoc

Certified by

Cwb
Canadian Welding Bureau

OVERHEAD CRANES QUOTATION REQUEST FORM

The information that you provide us on yourself and your company will be used exclusively by Provincial Services only. Once you have completed the form click the "Send" button located at the bottom of the page, the information will be sent via e-mail to our main office in Allanburg, Ontario. No information will be passed on to outside parties. Provincial Services uses the information to help better understand the customer base and their current needs. Should you have any questions or concerns please feel free to contact our office at 1-800-350-7250(Canada Only) or 1-905-384-0411

Your Name
Your Company Name
Your Company Address

Business Phone No.
Business Fax No.
E-Mail Address
How did you learn about our company

Have you dealt with us before:
Yes
No

CRANE INFORMATION


1. Base Quotation On:
Supply Only
Supply and Installation

2. Number of Cranes Required:

3. What Is The Load Capacity You Are Required To Lift

4. Environment:
Indoors Only
Outdoors Only
Both

5. Crane Span:

6. Crane Voltage:

7. Single Girder Or Double Girder:
Single Girder
Double Girder

8. Top Running Or Under Running:
Top Running
Under Running

9. Bridge Speeds:
Single Speed
Two Speed
Manual Operated

10. Trolley Speeds:
Single Speed
Two Speed
Manual Operated

11. Hoist Speeds:
Single Speed
Two Speed
Manual Operated

12. Briefly Describe The Primary Purpose Of The Crane


13. Required Hook Lift (Max. Including Pits or
Wells Below Floor Level):

14. Do You Require A Runway System:
Require a Runway System (Please answer question 15. also)
Runway System is Not Required

15. What Is The Required Length Of Runway:

16. Do Runway Support Centers Exist:
Yes
No

17. Please Include Any Other Special Conditions, Codes, Considerations, Constraints, and Requests


If all the information above is correct click the "send" button.

Allow 2 - 4 days for quotation. Should you require any assistance please call one or our sales representatives at 1-800-350-7250 or e-mail sales@provincialservices.com