Online Quote

Please complete the form below with as many details as you have available. This should enable us to provide you with an initial quote. Should we require any more technical information we will contact you.

Please note that there are a mixture of drop down boxes and standard text boxes. Where a drop down box does not appear, please click in the box and enter the relevant details.

Please use one questionnaire per building or lift.

*Fields marked with an asterix must be completed.

 

Title:	Please select... Mr Mrs Miss Ms
Forename(s)*:
Surname*:
Position:
Company*:
Postal Address:
Postcode:
Tel *:
Tel (Mobile):
Email:
Fax:
Your reference:
Job information
Model number of lift(s):
Make of lift(s):
Year of manafacture of lift(s):
Load capacity of lift(s):
Speed of lift(s):
Type of lift(s) :	Passenger Passenger/Goods Goods Service Platform
Drive:	Hydraulic Traction
Number of floors:
Automatic doors:	Please select... Yes No
Manual doors:	Please select... Yes No
Insurance reports available:
Location of lifts:
Type of building:	Office Industrial University Hospital Residential Private Housing Other
If other, please specify:
Type of maintenance contract:	Interim Comprehensive Standard Other
If other, please specify:
How many breakdowns per annum?
Condition of lifts:	Excellent Good Average Unsatisfactory Poor
Have lifts been refurbished:	Please select... Yes No
If yes to above, please supply brief details:
Other requirements / comments: