Take of Form Name of Firm Email Phone Number Number of Elevators Elev. 1Elev. 2Elev. 3 Elev. 1 Capacity Speed Front and Rear Opening? YesNo Total Travel Number of Openings Front: Rear: Interior Finishes LowMidHigh Elev. 2 Capacity Speed Front and Rear Opening? YesNo Total Travel Number of Openings Front: Rear: Interior Finishes LowMidHigh Elev. 3 Capacity Speed Front and Rear Opening? YesNo Total Travel Number of Openings Front: Rear: Interior Finishes LowMidHigh
