Quote Request

Contact Information:

Full Name: *

Company:

Address: *

Address (cont):

City: *

State: *

Zip / Postal Code: *

Country:

Phone:

Fax:

Email: *

Caster Specifications:

Full or Partial Albion Part Number:

Top Plate Size:

Bolt Hole Spacing:

Overall Height:

Wheel Diameter:

Wheel Face Width:

Wheel Hub Length:

Options (Brakes, Seals, etc.):

Maximum Weight of Unit (fully loaded):

Maximum Weight per Caster:

Operating Conditions:

Current Floor Material:

Floor Condition:
Excellent
Good
Fair
Poor

Special Environmental Conditions (oil, salt, etc.):

Temperatures:
High (over 120 Fahrenheit)
Medium (between -20 & 120 Farenheit)
Low (under -20 Fahrenheit)

Shock Loads:
Yes
No

Side Thrusts:
Yes
No

Towed Operation:
Yes
No

Frequency of Use:

Quantity Needed:

Quantity 1:

Quantity 2:

Quantity 3:

Security Question: *
2 + 20 =