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Name: (required)

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Phone:

Company name: (necesar)

Contact Person:

Ride (H) (m)

Shaft dimensions(Lxl)(mm)

Lift type

Destination lift

Chamber positioning machine

Hospital:

Auto:

Weight limit:

Merchandise:

Upper security space(mm)

Lower security space(mm)

Nr. of stops (Stops)

Nr. of Accesses

Cabin Details:

Type of access

Landing Doors

Door Details

File Attachment

Other specifications:

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