One Stop Shopping for Loading Dock Equipment
     N90 W14507 Commerce Drive   Menomonee Falls, WI 53051 
Phone: 262-502-1707  Fax: 262-502-1762 .
e-mail:info@multi-fab.com   www.multi-fab.com


Your Quickest Source for Dockboard Equipment
UNIVERSAL LIP PLATES
Kelley® Open Hinge Survey Sheet
*Note: All Hinge Tubes and Lugs Shipped Loose (Not Welded to Lip)
If you have any questions concerning your request, please do not hesitate to
inquire through email or call us at the above numbers.
Date:
Installing Dealer : Phone Number:
Contact Name: Email Address:
Company Name: Street Address:
City:  State:  Zip:
 
Make: Model Number:
Serial Number: Leveler Type:



Lip Thickness "T":

 

Lip Length "A":
Lip Width "B":  
Taper Lip "C":   Yes No (Check one)

Other Style
If other, please indicate how you will be sending your sketch or drawing:
Style
Hinge Thickness "T"
Quantity

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