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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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 MOTOR SURVEY SHEET
Please fill in the blanks or circle the appropriate answers below.
Date:
Installing Dealer : Phone Number:
Contact Name: Email Address:
Company Name: Street Address:
City:  State:  Zip:
 DOCKBOARD INFORMATION
. Make .
. Model .
. Serial # .
Lip Extension Mechanism
Mech. Style: Hyd. Style:
Independent Lip Out Option: Yes No (Usually an additional button on Control Panel)
If "yes", please provide a contact name and number of the servicing technician so that specific questions regarding the installation can be addressed:
     Name: Phone #:
No. of Platform Lifting Cylinders One Two
Size of Main Platform Cylinder(s):
Body Diameter:
Body Length: (Rod Retracted)
(Pin to Pin)
Overall Length: (Rod Extended)
(Pin to Pin)
Additional Dockboard Information:
MOTORPUMP INFORMATON
Motor Brand: Model #:
Horsepower (HP):
Gallons Per Minute (GPM):
    (Sometimes noted in owners manual)
Voltage:
Phase:
Reservoir Size: (Or Physical Dimensions) 1 Gallon 2 Gallon
Additional Motorpump Information:

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