REQUEST A FORMAL QUOTE FROM BERLET

Name
Title
Company
Address
City Province/State
Country Postal/Zip Code
Phone Fax
E-Mail

Crane location

Street Address
City Province/State
Country Postal/Zip Code

Crane ID(s)
Type
Capacity
Building
Bay

Crane Capacity
Height
Span
Runway Length

Principal Contact (Purchasing)
Principal Contact (Engineering)
Principal Contact (Maintenance)
Other Contact

Current Crane Control Data

Magnetic? YES NO
Stepless? YES NO
Variable Frequency? YES NO
Drum Controls? YES NO
Control Manufacturer
Voltage of Crane Power Source
Frequency of Crane Power Source
Cab YES NO
Pendant YES NO
Other Control Mechanisms (Please State)
Manual Control to Remain? YES NO
Type of Bridge Brake HYDRAULIC ELECTRIC OTHER
Manual/Radio Transfer Switch Required? YES NO
Effective Isolation of Radio Required? YES NO
Total Isolation of Radio Required? YES NO

Indicate any frequency for which you now have IC approval
Please describe environment (e.g. indoor, outdoor, temperature extremes, harsh environment, etc.)
Is Standard NEMA 12 Enclosure Satisfactory? YES NO

Motions (Bridge, Trolley, Hoist, etc,)

1) Bridge
Horsepower
Max NEMA Size of Contactors
Speed Steps of Ref Voltage (Stepless)

2)
Horsepower
Max NEMA Size of Contactors
Speed Steps of Ref Voltage (Stepless)

3)
Horsepower
Max NEMA Size of Contactors
Speed Steps of Ref Voltage (Stepless)

4)
Horsepower
Max NEMA Size of Contactors
Speed Steps of Ref Voltage (Stepless)

5)
Horsepower
Max NEMA Size of Contactors
Speed Steps of Ref Voltage (Stepless)

Other

Auxiliary Functions To Be Controlled by Radio:

1. Warning Horn/Bell/Siren
2. Crane Lights On/Off With Latching Relay?
3. Magnet On/Off with Latch
4. Magnet Lift/Drop with Latch
5. Other (such as Rotate, Grab, Limit Bypass)

Anti-Collision Protection:

Does Crane Have It? YES NO
Is It Required? YES NO

Are Plant Personnel Available to do Installation? YES NO
Can Control and Power Circuit Drawings
be Provided? YES NO
Is Normal 6- to 8-Week Delivery Time Satisfactory? YES NO

If pertinent special conditions exist (such as space limitations) please indicate below:

Desired Response
A) Have a Berlet representative call on me
B) Want budget price and description now
C) Want firm price and description now

Completed by

Thank you for your interest. We will be sure to get back to you with relevant information as soon as possible