101 Mallard Road Sterling, Illinois 61081
Phone: 1-800-243-6694 Fax: (815) 625-9498
E-Mail: info@mallardmfg.com
Pallet Flow / Push Back Conveyor
Request for Quotation 

Full Roller

Magnum

Skatewheel

Provide as much detail as possible, select the appropriate drop down choice. At the end of this form,
you can fill in additional information or provide comments, Leave boxes blank if information is not known.

* Must supply for Mallard Manufacturing to process quote request.
General Information    
*Name Title
*Company Address
*City *State/Zip
*Phone *Fax
*Email    
Type of Business: Type of Inquiry
Is a Drawing of this quote request available? If Yes, Email to slogan@mallardmfg.com or fax to (815) 625-9498
Specify Type of Product to be flowed: Conveyor Type:
Environment of Conveyor:
 
Pallet Details:
Type of Pallet: Bottom Board Orientation:
Pallet Characteristics:
   Dimensions: Width: Depth: Height:
   Weights: Minimum: Maximum: Average:
   Condition:    
   Bottom Boards: # of Boards: Thickness: Width:
Size of Project:
# of Lanes:  # Pallets Per Lane:
# of Levels:  # of Bays:
Total # of Pallets:

Can Pallet be turned
   
Warehouse Space Available:
Floor Space Available: Ceiling Height Restrictions:
Fork Lift Restrictions:
Conveyor Options:
Accessories per Lane:


Welded Impact Plates:  
Welded Ramp Stops:
CR-AS (Skatewheel) Stops:
Entry Guides:
Pallet Separators:
Application Environment:
Seismic Information:


If Yes,  
Concrete Thickness: Concrete PSI:

Other Information/Comments to assist us in your request:

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