Preliminary lift offer

Our sales assistants will prepare preliminary technical and price offer, when data given in form will be complete and accurate.
Do not hesitate to give us a call in case of any questions or queries: 0-81 528-95-22; 0-81 528-95-50; 0-81 528-95-36

Name of client and exact address*:
Name and surname:
Stationary phone / land line*:
Mobile phone:
Fax. number:
E-mail:
Lift localization (address, type of object)*:
Destination*:
Lift type*:
Shaft dimension
Shaft width*:	(mm)
Shaft depth*:	(mm)
Shaft height*:	(mm)
Pit Depth*:	(mm)
Travel height*:	(mm)
Shaft top height:	(mm)
Situating (placing) of machine room:
Load*:	kg
Number of landings*:
Number of car entrance*:
Number of services*:
Other information from the customer ( e.g. execution standard):
Fields marked with * required: