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*
denotes required fields. |
| *Select Product of Interest: |
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| *Name: |
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| Title: |
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| *Company: |
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| Address: |
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| City: |
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| State |
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| *Zipcode: |
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| *Phone: |
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| Fax: |
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| *Email: |
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What type of forklift(s)
are you interested in? |
Propane Sit-Down Forklift, Warehouse Style,
Small rubber tires (less than 15K lifting capacity) |
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Propane Sit-Down Forklift, Outdoor Style,
Large pneumatic tires (less than 15K lifting capacity) |
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Electric Forklift, Sit Down Style
(less than 15K lifting capacity) |
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Propane or Diesel Large Forklift, Outdoor Style
(15K or greater lifting capacity) |
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Narrow Aisle or Electric Order picker, Narrow Aisle, Warehouse application |
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Electric Pallet jack (rider or walk behind) |
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Other (please specify): |
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What fuel type would you
prefer for your forklift(s)? |
Electric |
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Propane (LPG) |
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Diesel |
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Give me some options! |
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Propane with a FREE Electric Savings/Application Analysis? |
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| What tire type do you need? |
Outdoor Style- Pneumatic |
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Warehouse Style- Cushion Tire |
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Tell us about your lifting
heights and weights? |
How high are you lifting?
(in feet and/or inches) |
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How much do your loads weigh?
(on average, in pounds) |
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I don't know |
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| Purchasing Details |
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How many forklifts would
you like to buy? |
3 or Less |
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4 - 6 |
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6 - 10 |
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10+ (specify exact number): |
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Is this a replacement lift?
Or addition? |
Replacement |
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Addition |
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Are you interested in a
New or Used forklift?
Industrial Vehicle?
Narrow Aisle JLG Stockpicking Equipment for smaller, lighter products in really small spaces? |
New Forklift |
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Used Forklift |
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Industrial Electric |
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Golf Cart |
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Stockpicking Equipment |
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Not sure, I need assistance |
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How much are you
planning on spending? |
Less than $8000 |
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More than $8000 |
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I don't know |
| Othe Areas to Consider |
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Would you like us to
include information on service programs available to you? |
Yes
Please include information on service contract options |
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No
I am not interested in service contract options |
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| Would you like us to send you some information on our company including: service, rentals, parts and promotional programs available to you? |
Yes |
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No |
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Is there anything else you need? Please list below and be specific. Our team will contact
you within two hours! |
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THANK YOU FOR THE OPPORTUNITY TO SERVE YOU! |
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