Brand
Specify Dock Mfg.
Kelley
Rite Hite
Serco
Blue Giant
McGuire
Pentalift
Level Rite
Other
Specify Door Mfg.
Dynaco
Rytec
Albany
Cookson
TKO
Other
Product
Specify Dock Product
Mechanical Dockleveler
Hydraulic Dockleveler
Mechanical EOD
Hydraulic EOD
Vehicle Restraint
Vertical Storing
Dock Seal/Shelter
Dock Bumpers
Hydraulic Lift Tables
Scissor Lift
Other
Specify Door Product
High Speed/Fabric Door
Traffic/Impact Door
Rolling Steel Door
Sectional Door
Type of Service
Please Specify
Service Call
Repair Equipment
Planned Maintenance
Installation
Inspection
Training
Reduce downtime and maintenance costs with one of our planned
maintenance programs.
Model
*if
available
Serial
Number(s)
*if
available
What
would you like us to do first?
Please contact me to arrange a quote.
I want to schedule maintenance.
I would like to schedule service.
I would like to schedule installation
I would like to schedule Fire Door testing.
Preferred
Day
As soon as possible
Monday
Tuesday
Wednesday
Thursday
Friday
Saturday (premium)
Sunday (premium)
Date Required:
Preferred
Time of Day
Anytime
Morning
Afternoon
Other (specify below)
Specific Nature of the problem or other relevant information
Site
Information if different than Customer address
Did you know?... “a lifting device
shall be thoroughly examined by a competent person to
determine its capability of handling the maximum load as
rated, prior to being used for the first time, and
thereafter as often as necessary but not less frequently
than recommended by the manufacturer and in any case, at
least once a year, and a permanent record shall be kept,
signed by the competent person doing the examination.”
Customer
Information
*Name
Title
*Company
Existing Customer
New Customer
Address
City
State
Postal
Code
*Phone
Fax
E-mail
address
* Required fields