Rehrig Pacific Company: Request for Quote

Rehrig Pacific's Heavy Duty Plastic Pallet
Earns UL2335 Classification, Meets GMA Rack
Strength and NSF Sanitation Standards

Pallet Specifications

Request for Quotation

In order to receive a plastic pallet quotation from Rehrig Pacific, please complete the following form. Please note that all items marked with a red asterisk * are required to process this form.

Name (first/last): *	* *
Company: *	*
Industry:
Industry (other):
Address (line 1): *	*
Address (line 2):
City: *	*
State/Province: *	*
Zip/Postal Code: *	*
Country: *	*
Telephone: *	*
Fax:
Email Address: *	*
Please Re-Enter Email Address: *	*

Basic Application Information
Are you currently using plastic pallets?:
Preferred Dimensions: *	Length:* Width:* Height:*
Select Units Measurement:
Entry Points:
Pallet Type:
Pallet Packing Method:
Loading & Stacking Requirements:	Maximum Weight of Product on Pallet:
Select Measurement Type:
Are Unit Loads Stacked on Top of One Another?:
If Stacked, How Many per Stack?:
Conveying:
	If "other" selected above, please specify...
Racking Requirements (if any):
Is Flame Retardant Resin Required?:
Number of Facilities/Locations You are Responsible For:
Total Number of Pallet Positions, All Locations:
Quantity Required: *	Number of Pallets Needed Immediately: * Number of Pallets Needed Over One Year: * Number of Pallets Needed Over 5 Years: *

Working Environment & Special Application Requirements
Temperature:
Surface Treatment Required:
Special Applications?:
	If "other" selected above, please specify...
Lift Truck Requirements
- Used with:
	If "other" selected above, please specify...
- Stock Picking:
Additional Comments or Application Information: