PNEUMATIC VACUUM ELEVATOR

2 STOP ORDER FORM

Elevator Production Requirements
Pneumatic Vacuum Elevator

2 Stop Elevator

info@daytonaelevator.com

440 Spring Forest Dr.

New Smyrna Beach, Florida, 32168

Tel: 386/423-7226 Fax: 386/427-4763

Measurement Definitions:

It is absolutely critical to take into consideration the

complete measurement, surface-to-surface, unless

the lowest level floor covering (i.e. carpet, tile, hardwood )

is not going to be installed or if it will be removed

at the time of our elevator installation.
Home Owner Name:
     Customer Phone:   *required field

                   Address:

             City, State:

   ZIP/Postal Code:

                     email: *required field

Please Specify Measurements in Feet and/or Inches
H1 =           H2 =

T1 =

Remote Head Option (Required if H2 is less than 107")

Door Options Option A (All levels will have doors on same side)
Option B (2nd Floor Door opens opposite main floor door)

From Inside The Elevator:
    Doors Always Swing To The Left

NOTE: I certify that the information as listed above is correct to within ¼” for each measurement, in order for us to

order the elevator for the correct lifting heights at each level. We will order your elevator based on the measurements

and specifications listed on this sheet. Any errors in information provided may be subject to addtional charges.
AUTHORIZED CUSTOMER NAME:

*Elevator Production Requirements* Pneumatic Vacuum Elevator 2 Stop Elevator	*info@daytonaelevator.com* *440 Spring Forest Dr.* *New Smyrna Beach, Florida, 32168* *Tel: 386/423-7226 Fax: 386/427-4763*
Measurement Definitions: It is absolutely critical to take into consideration the complete measurement, surface-to-surface, unless the lowest level floor covering (i.e. carpet, tile, hardwood ) is not going to be installed or if it will be removed at the time of our elevator installation.	Home Owner Name: *Customer Phone: required field Address: City, State: ZIP/Postal Code: email: required field*

Please Specify Measurements in Feet and/or Inches H1 = H2 = T1 = Remote Head Option (Required if H2 is less than 107")

Door Options Option A (All levels will have doors on same side) Option B (2nd Floor Door opens opposite main floor door) From Inside The Elevator: Doors Always Swing To The Left