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Company Name:  (if applicable)

Mailing address :  

City :       State:       

 Zip:        Phone:     * required field  

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Job Description

Type Of Elevator:

Traditional Residential Elevator

Pneumatic Vacuum Elevator

Vertical Wheel Chair Lift

Incline Wheelchair Lift

Dumbwaiter 

Stair Lift

Building Type :     Select one Commercial Condominium House Boat

Job Location : ( City and State) :    *required field

New or Existing Structure:     Select one New Home Existing Home

Number of Elevator Stops:     Select one 2 3 4 *required field

Height From Top floor To Ceiling :      (in feet and inches)

Floor Thickness between floors:     (in inches, best estimate possible)

Describe floor & landing set up:    Select one Doors to open in opposite direction for each level Doors to open in same direction each floor

Describe Installation Area:             Select one Elevator travels through ceilings on all levels Elevator serves open loft or balcony Combination of both choices above

Any other special requirements or questions:

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Approximate Required Installation Date:

1-3 Months

3-6 Months

6 Months or More

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 Thank you for considering Daytona Elevator!

Wendyr.
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