| Please fill out the Request 
                                    for Quotation Form Below and we will send 
                                    you a quotation Shortly:
 
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                                  | Your 
                                    Name: |  | 
                                 
                                  | Company 
                                    Name |  | 
                                 
                                  | Company 
                                    Address: |  | 
                                 
                                  | City: |  | 
                                 
                                  | State: |  | 
                                 
                                  | Zip: |  | 
                                 
                                  | Phone 
                                    Number: |  | 
                                 
                                  | Fax 
                                    Number: |  | 
                                 
                                  | **E-mail: |  | 
                                 
                                  | How 
                                      would you like for us to send the quotation? | 
                                 
                                  | E-mail | 
                                 
                                  | Fax | 
                                 
                                  | Have sales representative call | 
                                 
                                  | Send 
                                    me quotation on: | 
                                 
                                  | EL600SL | EL600SLSP | 
                                 
                                  | ADD 
                                    the following options: | 
                                 
                                  | Eagle Grip 2 Double Clamping Mechanism | 
                                 
                                  | "STEEL-IT™" Epoxy Coating! | 
                                 
                                  | D.C. power lift! | 
                                 
                                  | Non-sparking jaws with belt! | 
                                 
                                  | 8" wheels for rough surfaces! | 
                                 
                                  | Increased lift height! | 
                                 
                                  | Scale without intrinsically safe indicators | 
                                 
                                  | Intrinsically Safe Scale with Doran 
                                    Model 8000IS Indicator | 
                                 
                                  | Optional: If you have a particular material 
                                    handling application, please provide some 
                                    background information:
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