Nova Technology International, L.L.C
N90W14507 Commerce Dr.
Menomonee Falls, WI 53051
Phone: 800.236.7325 -- Fax: 262.502.1511
e-mail:sfischer@novalocks.com --  www.novalocks.com
FP DOCK SEAL SURVEY
Please complete all items in the form below as best you can.
All items in RED must be completed to receive a quotation!
Date: Customer #: if available
Company Name: Salesman:
Street Address:
City:  State:  Zip:
     
For international customers. please enter your address here:
Phone Number:  Fax Number:
First Name:  Last Name:
Title: Email Address:
GENERAL INFORMATION
Final Approval By:
Quantity
Door width
Door Height
Dock Height
Dock Bumper / Ledge Combined Projection  
Drive Approach;    
    Level         Inclined    Declined 
HEAD PAD DATA
Mounting:    
   Over Side Pads     Between Side Pads   
"G" - Length at rear
"H" - Width at rear
"I" - Width at face  
"J" - Projection Total
Base Fabric
Color
Blockout (if required) 
    Projection  
Wear Face Reinforcement 
Fabric  
Color
Optional Drop Curtain 
"O" - Length
Fabric    
Color
VelcroŽ Attachment 
Rope / Pulley System 
Weighted Curtain 
SIDE PAD DATA
"A" - Height at rear  "B" - Width at rear 
"C" - Width at face  "J" - Projection at top 
"E" - Projection at bottom  "F" - Side Pad I.D., Face 
"K" - Side Pad I.D., Rear     
Base Fabric Color
Blockout (if required)  Projection; Top  Bottom
Wear Face Reinforcement  Fabric  Color
Wear pleats   Fabric  Color
Pleat Exposure, Inches  Formed Steel Back (optional)  Painted Galvanized
Galvanized Mounting Hardware Included
Additional Comments/Requests:

    
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