Lift Gate Sales Quote Form

Company Name

Call Back Phone Number *

Contact Name *

Email *

Replacing an existing gate? Provide serial #

Type of Gate You Are Looking For (If other, please specify in the comments)

(Select/Deselect All)

Cantilever

Column

Pick-Up

Rail Gate

Slider

Tuckaway

Utility Body Gate

Gate is going on?

Bed Height (Floor to Ground Measurement)

Outside to Outside of Box or Body Measurement

Weight Capacity Needed

Platform Size Needed

Platform Material Needed

Cart Stops

Steps

(Select/Deselect All)

Single Step with Rubber Bumpers

Single Step with Rubber Bumpers with Light Cut Outs

Dual Step with Rubber Bumpers

Dual Step with Rubber Bumpers with Light Cut Outs

Lift Gate Brands

(Select/Deselect All)

Anthony

Bär Cargolift

Leyman

Maxon

Thieman

Tommy

Waltco

Interlift (Palfinger)

Special Requests Needed

Upload Pictures Here (Optional)

Address Gate Will Be Shipped To

Additional Comments

Are you human?

Some of the manufactures products and parts we supply include