APPLICATION QUESTIONNAIRE
 
The keys to ALUM-A-LIFT are: The perception of an ergonomic lifting problem to which ALUM-A-LIFT offers a viable solution; and the importance attached to the solution by a decision-maker. ALUM-A-LIFT is configured to the application.

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  Contact Information
    First Name:  
    Last Name:  
    Title:  
    Company Name:  
    Address:  
    City:    State:        Zip Code:  
    Phone Number:  
    Fax Number:  
    E-Mail:  
    Your Interest:  
         
  Load Information
What is being handled? Describe other:  
Weight of Load:    Pounds   Kilograms
Maximum Height:
Minimum Height:
Constraints: Describe other:  
Conditions: Describe other:  
  Lifting Strategy & End Effecter Requirements  
 
Generally, end effecters are designed to emulate human physical activities.  Examples include:  Lift Lower, Reach, Grasp, Move, Rotate, Position, Align, Assemble and Hold

Please check the nearest to your application
      Basic:  Tine, fork set, boom, platform, trough, sling  
      Simple:  Roller deckm ball transfer, adjustable forks.  
      Complex:  Clamp, rotate, articulate, expanding mandrel; combined (e.g. clamp and rotate,
      as dump); manual or powered operation 
      Other:  Describe:   
             
  Other Notes & Details  
             
  Any other notes, details or specifications we need to be aware of: