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Name * Title * Organization * Street Address Address (cont.) City State (Province) Zip (Postal Code) Country Work Phone * Fax Email * Job Reference Control Manufactuer Model Selector ie: Dover comp. Otis 6850bj, 140m Approx Date Installed Number of Elevators Advise if Simplex, Duplex, Triplex, etc Number of Landings Car Speed Car Travel How Many Rear Landings How Many Short Floor Heights How many position indicators Any Impulse Rotomatic PI's select one yes no don't know Do any cars have independent risers or hospital service select one yes no don't know If so, how many Do cars have hall lanterns

NOTE: When placing orders must have the following
· Clear Legible Schematics · Individual Floor Heights and Names