* Company Name: 

City, State of Delivery: 

* Contact Person:

* Email:     

* Telephone (include best time and any extensions): 

How Would You Like To Be Contacted:  Email   Telephone

I am interested in a NEW Forklift  or USED Forklift: 

What is the Forklift Capacity required: (lbs.)

What is the product to be lifted and approx. weight:

Wheel Requirements:

Any 

Cushion Tire (for indoor smooth surfaces)  

Pneumatic Tire (for outdoor gravel surfaces)

Rough Terrain (for outdoor fields)  

Fuel Preference:

Any    LP Gas Propane    Electric    Gasoline    Diesel

Reach Height Requirements (approx. inches):

Are you open to any Brand?  (if not specify):

Are you open to any year?  (if not specify):

Is Side Shift necessary?:

Approx. Price Range:   

Quantity:

Date Needed By:

Any Additional Comments: