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Pallet Request for Quote Form
Please note that all items marked with a
red asterisk *
are required to process your request.
Contact Information
First Name:
*
Last Name:
*
Company:
*
Industry:
Title:
Address (line 1):
*
Address (line 2):
City:
*
State/Province:
*
Zip/Postal code:
*
Country:
*
Telephone:
*
Alternate Telephone:
Fax:
Email:
*
Section 1: Basic Application Information
Are you currently using plastic pallets?:
Select
Yes
No
Preferred Dimensions:
X
X
Select Units Measurement:
Select
Inches
Millimeters
Centimeters
Entry Points:
Select
2-way
4-way
Pallet Type:
Select
Export
Standard
Rackable
Nestable
Reversible
Stringers Only
Pallet Packing Method:
Select
Hand Loaded
Automated Picking Device
Automated Palletizer
Loading & Stacking Requirements:
Select Measurement Type:
Select
Pounds
Kilograms
Are Unit Loads Stacked on Top of One Another?:
Select
Yes
No
If Stacked, How Many per Stack?:
Select
2
3
3+
Conveying:
Select
Not Transported on Conveyors
Uses Conveyor with Rollers
Uses Conveyor with Wheels
Uses Conveyor with Rollers/Wheels
Uses Conveyor with Other (Please Specify)
If "other" selected above, please specify...:
Racking Requirements (if any):
Select
Edge-Racked
Fully Supported Bottom
No Racking Required
Is Flame Retardant Resin Required?:
Select
Yes
No
Number of Facilities/Locations You are Responsible For:
Select
1
2
3
4
5+
Total Number of Pallet Positions, All Locations:
Quantity Required:
Section 2: Working Environment & Special Application Requirements
Temperature:
Select
Ambient
Freezer
Refrigerator
Elevated
Surface Treatment Required:
Select
No Scuffing
Light Scuffing
Heavy Scuffing
Other
Special Applications?:
Select
Food Grade
Hazardous Material
Other Special Application (Please Specify)
If "other" selected above, please specify...:
Section 3: Lift Truck Requirements
Used with:
Select
Hand Jacks Only
Lift Trucks Only
Both Hand Jacks and Lift Trucks
Other (Please Specify)
If "other" selected above, please specify...
Stock Picking:
Select
Yes
No
Section 4: Comments
Additional Comments or Application Information::