Request A Quote

Submitted by admin on Sat, 10/11/2008 - 15:24

Please give us as much detail as possible to enable us to fill your needs.
Please fill in as much of the Contact Information section as possible so that we may get in touch with you promptly.
The blanks marked with an * must be completed before submitting your form.

Date Needed:

Number Needed: *

Condition: *

New

Used

Terms: *

Lease

Purchase

Demo

Use: *

Indoor/Cushion

Outdoor/Pneumatic

Fuel: *

LP Gas

Electric

Diesel

Gasoline

Largest Load: * pounds

Load Center: *

Maximum Lifting Height: *

Maximum Clearance: * inches

Fork Length: *

Side Shift: *

Yes

No

Attachments:

Current Fleet Size:

Current Forklift Supplier:

Current Trucks Used:

Do you outsource routine maintenance?: *

Yes

No

Comments:

Contact Information

Existing Account Number:

First Name: *

Last Name: *

Title:

Company: *

Department:

Preferred Contact Method:

E-mail: *

Phone: *

Alternate Phone:

Best Time To Call:

Address Line 1:

Address Line 2:

City:

State:

Zip:

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R&J Midwest Equipment · 1090 Fargo Ave. · Elk Grove Village, IL 60007 · Phone: 847-290-8081 · Fax: 847-290-8021

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