MULTI-FAB PRODUCTS, LLC
One Stop Shopping for Loading Dock Parts for 35 Years !
 N90 W14507 Commerce Dr.
 Menomonee Falls, WI 53051
Phone: 262-502-1707
  Fax: 262-502-1762
www.multi-fab.com
sales@multi-fab.com
 
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FORMS ON-LINE
 
QUOTE FORM HYDRAULIC CONVERSION KIT SURVEY LIP PLATE SURVEY SHEET
ORDER FORM KELLEY® OPEN HINGE SURVEY FP DOCK SEAL SURVEY
DOCK SEAL SITE SURVEY CREDIT APPLICATION FORM FPH DOCK SEAL SURVEY
RF DOCK SEAL SURVEY HYDRAULIC MOTORPUMP SURVEY    
HYDRAULIC CONVERSION KIT SURVEY SHEET
Please fill in the blanks or circle the appropriate answers below.
Warning: The installer must thoroughly inspect the structural integrity of the dockleveler. Being certain that the dockleveler being converted is mechanically sound and will have a minimum of 5 years more of service before attempting the conversion. If in doubt, rip it out!
Date:
Company Name: Salesman's Name:
Email Address:    

Phone Number:

Fax Number:
End User's Name:  
Street Address:   City:
State:   Zip:
       
Signature of Installing Company's Representative:
In signing the survey the installing company is acknowledging that they are responsible for the structural integrity of the dockleveler and all installation workmanship. Multi-Fab Products, LLC is not responsible nor liable for any loss of equipment or any incidental or consequential damage of any kind due to installation of this kit on a docklever.
       
SHEETS MUST BE FILLED OUT COMPLETELY TO ENSURE PROPER KIT!
Model and Brand of Dockleveler:    .
Size of Dockleveler:                        .Size of Lip:
Pit Depth: Height from Approach to Dock Edge:
Type of Dockleveler:                       .
       
 
Dimension 'A' (from survey drawing)   
Deck Reinforcing Member Dimensions from Survey Drawing:
Size & Style (if any):
Does this unit have fully functional full range toe guards? Yes No
Is this unit equipped with Maintenance Strut?
Yes No
What Type of equipment travels over this unit? (Forktrucks, Palletjacks, etc.):
 

Additional Information to assist us :

Multi-Fab sells to registered dealers only; however, we can assist in finding you a dealer
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