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Mobi Application Form
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CUSTOMER INFORMATION
Company Name
*
Contact Name
*
First
Last
Email
*
Phone
*
PROJECT INFORMATION
What are we picking up?
*
What is the lifting surface like, i.e. smooth, rough, porous, etc.?
*
Length
Length
Length Minimum
Length
Length Maximum
Length Unit
in
mm
Unit
Width
Width
Width Minimum
Width
Width Maximum
Width Unit
in
mm
Unit
Height
Height
Height Minimum
Height
Height Maximum
Height Unit
in
mm
Unit
Weight
Weight
Weight Minimum
Weight
Weight Maximum
Weight Unit
lb
kg
Unit
Type of Lift Required
*
Cable
Vacuum
None (other supplier)
Operational Method
*
6'-6"
9'-10"
Notes
Maximum Swing Arm Length Requested
*
6'-6"
9'-10"
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