Lift Covers RFQ Click here for a PDF version of this form Step 1 of 6 16% Contact InfoName* First Last Company Name* Email* Phone Number* Rep Information AddressAddress Street Address Address Line 2 City State / Province ZIP / Postal Code CountryAfghanistanAlbaniaAlgeriaAmerican SamoaAndorraAngolaAnguillaAntarcticaAntigua and BarbudaArgentinaArmeniaArubaAustraliaAustriaAzerbaijanBahamasBahrainBangladeshBarbadosBelarusBelgiumBelizeBeninBermudaBhutanBoliviaBonaire, Sint Eustatius and SabaBosnia and HerzegovinaBotswanaBouvet IslandBrazilBritish Indian Ocean TerritoryBrunei DarussalamBulgariaBurkina FasoBurundiCabo VerdeCambodiaCameroonCanadaCayman IslandsCentral African RepublicChadChileChinaChristmas IslandCocos IslandsColombiaComorosCongoCongo, Democratic Republic of theCook IslandsCosta RicaCroatiaCubaCuraçaoCyprusCzechiaCôte d'IvoireDenmarkDjiboutiDominicaDominican RepublicEcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEswatiniEthiopiaFalkland IslandsFaroe IslandsFijiFinlandFranceFrench GuianaFrench PolynesiaFrench Southern TerritoriesGabonGambiaGeorgiaGermanyGhanaGibraltarGreeceGreenlandGrenadaGuadeloupeGuamGuatemalaGuernseyGuineaGuinea-BissauGuyanaHaitiHeard Island and McDonald IslandsHoly SeeHondurasHong KongHungaryIcelandIndiaIndonesiaIranIraqIrelandIsle of ManIsraelItalyJamaicaJapanJerseyJordanKazakhstanKenyaKiribatiKorea, Democratic People's Republic ofKorea, Republic ofKuwaitKyrgyzstanLao People's Democratic RepublicLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMacaoMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMartiniqueMauritaniaMauritiusMayotteMexicoMicronesiaMoldovaMonacoMongoliaMontenegroMontserratMoroccoMozambiqueMyanmarNamibiaNauruNepalNetherlandsNew CaledoniaNew ZealandNicaraguaNigerNigeriaNiueNorfolk IslandNorth MacedoniaNorthern Mariana IslandsNorwayOmanPakistanPalauPalestine, State ofPanamaPapua New GuineaParaguayPeruPhilippinesPitcairnPolandPortugalPuerto RicoQatarRomaniaRussian FederationRwandaRéunionSaint BarthélemySaint Helena, Ascension and Tristan da CunhaSaint Kitts and NevisSaint LuciaSaint MartinSaint Pierre and MiquelonSaint Vincent and the GrenadinesSamoaSan MarinoSao Tome and PrincipeSaudi ArabiaSenegalSerbiaSeychellesSierra LeoneSingaporeSint MaartenSlovakiaSloveniaSolomon IslandsSomaliaSouth AfricaSouth Georgia and the South Sandwich IslandsSouth SudanSpainSri LankaSudanSurinameSvalbard and Jan MayenSwedenSwitzerlandSyria Arab RepublicTaiwanTajikistanTanzania, the United Republic ofThailandTimor-LesteTogoTokelauTongaTrinidad and TobagoTunisiaTurkmenistanTurks and Caicos IslandsTuvaluTürkiyeUS Minor Outlying IslandsUgandaUkraineUnited Arab EmiratesUnited KingdomUnited StatesUruguayUzbekistanVanuatuVenezuelaViet NamVirgin Islands, BritishVirgin Islands, U.S.Wallis and FutunaWestern SaharaYemenZambiaZimbabweÅland Islands Country Application InformationQuantity Required:* Bellows for: New Cover Design Replace Existing Cover Environment: Clean Room Antimicrobial Agents Sparks Grease Washdown Fire Retardant Dust Cover Movement Lateral (Please attach sketch of movement) Tilt (Please specify degree of tilt) Please Attach Sketch of Lateral Movement: Drop files here or Select files Accepted file types: pdf, jpg, jpeg, png, doc, docx, xls, xlsx, ppt, pptx, stp, step, dxf, dwg, slddrw, sldprt, idj, ipn, ipt, idw, ide, tif, tiff, Max. file size: 12 MB, Max. files: 5. Please Specify Degree of Tilt: Cover Construction TypeCover Type: Liftgard Gorframe Sewn Dynatect recommendation Cover Venting and OptionsPlease check ALL options desiredCover Options: Venting Maintenance Straps Zipper (For quick installation. Standard on Lifgard covers) For Venting considerations, provide maximum lift speed: Lift Table Dimensions Dimensions specified in: in. mm. Table Width (A): Table Height (E): Table Length (B): Base Height (F): Base Width (C): Raised Height (RH): Base Length (D): Lowered Height (LH): Cover Location (Bellows Orientation)Location (choose one) Outside Cover Location Inside Cover Location Other (discuss with Dynatect) Are there any clearance issues on any side of the lift table? No Yes (please provide sketch) Shortest distance between scissors mechanism and outside edge of table top: (required)If there are clearance issues, attach a sketch here: Drop files here or Select files Accepted file types: pdf, jpg, jpeg, png, doc, docx, xls, xlsx, ppt, pptx, stp, step, dxf, dwg, slddrw, sldprt, idj, ipn, ipt, idw, ide, tif, tiff, Max. file size: 12 MB, Max. files: 5. Outside Cover Mount First select whether mounting to table top or base/floor, then select mounting type (collar or flange), then select an attachment option Mount to Table Top or Base/Floor? Mount to Table Top Mount to Table Base/Floor Mounting to Table TopCollar or Flange Mount? Collar Mount Flange Mount Corners are not connectedCollar Mount ************************* Flange MountAttachment Options: Reinforced with PVC strips (default) Reinforced with Metal strips Hook & Loops Fastener If Reinforced with Metal strips, please specify: Mounting to Base/FloorCollar or Flange Mount? Collar Mount Flange Mount Corners are not connectedCollar Mount ************************* Flange Mount Collar Mount: Fabric Pocket/Loop Fabric Pocket/Loop with Rod Reinforced with PVC strips (default) Reinforced with Metal Strips Hook & Loop Fastener If reinforced with Metal strips, please specify: Flange Mount (specify "to base" or "to floor") To Base (upper) To Floor (lower) Flange Mount: Fabric Pocket/Loop Fabric Pocket/Loop with Rod Reinforced with PVC strips (default) Reinforced with Metal Strips Hook & Loop Fastener If Reinforced with Metal strips, specify type: Inside Cover Mount Select mounting type (collar or flange), then a mounting option***Mounting to Table Top***Collar Mount: Reinforced with PVC strips (default) Reinforced with Metal strips* Hook & Loops Fastener If Reinforced with Metal strips, please specify: Flange Mount: Reinforced with PVC strips (default) Reinforced with Metal strips* Hook & Loops Fastener If Reinforced with Metal strips, please specify: ***Mounting to Base (Optional)***Collar Mount: Fabric Pocket/Loop Fabric Pocket/Loop with Rod Reinforced with PVC strips (default) Reinforced with Metal Strips* Hook & Loop Fastener If Reinforced with Metal strips, please specify: Flange Mount: Fabric Pocket/Loop Fabric Pocket/Loop with Rod Reinforced with PVC strips (default) Reinforced with Metal Strips* Hook & Loop Fastener If Reinforced with Metal strips, please specify: NameThis field is for validation purposes and should be left unchanged.