Fillable GALAXY CARGO LIFT ORDER AGREEMENT

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GALAXY CARGO LIFT ORDER AGREEMENT

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GALAXY CARGO LIFT ORDER AGREEMENT
DATE:
DEALER:
PHONE NUMBER:
UNIT # ASSIGNED FROM FACTORY:
PURCHASER MAY CALL (888) 317-7203 FOR UNIT ASSIGNMENT AND CONFIRMATION
DISTANCE FROM DECK TO GROUND
POWER REQUIREMENT
(Finished floor to finished floor.) (220/15 AMP circuit with disconnect must be provided for factory installation.)
FT' IN" 220V 120V
FOOTING LIMIT SWITCH RELOCATION
Concrete Ground Yes
BRACING OPTIONS STANDARD LIFT FEATURES
(See website for drawings and specs. Photos required for factory installation.)
2 STOP STANDARD - Gearbox (90), Leeson 1 HP Motor,
Side Vertical Arrowhead
2 Stop Control Box, 2 Stop Limit Switch, 1 Brace
3 STOP UPGRADE - Gearbox (90), Leeson 1 HP Motor,
Horseshoe Splice Kit Other
3 Stop Control Box, 3 Stop Limit Switch, 2 Braces
QTY PRICE QTY PRICE
2
1 3
Inspection Complete Pictures Downloaded
LIFT MODEL
SPECIFICATIONS
VOYAGER II (4" TRAVEL I-BEAMS)
PREMIER (5" TRAVEL I-BEAMS w/ SDS©)
ORION (3 POST SYSTEM - 5" TRAVEL I-BEAMS)
SMART SHUTTLE
ITEM
ACWS (GEARBOX WHEEL)
BRAKING SYSTEM
CALL/ SEND STATION
FEATURES & ACCESSORIES
1.5 HP MOTOR/ CONT. DUTY
2ND GATE OPENING
3 STOP UPGRADE
38" OPENING (36" GATE)
ITEM
LEXAN SIDES
FACTORY DELIVERY
CUSTOMER PICK UP
FOLD DOWN SHELF
HANDRAIL
MOUNTED LIFT CONTROL
OVER 17' HEIGHT
PAN SWITCH
POWDER COAT (incl. RAL# in QTY box)
WINDER COVER
DELIVERY OPTIONS
INSTALL (CONTRACTOR)
COMMON CARRIER
RAMP GATE / RAMP
REMOTE CONTROL (2 STOP / 3 STOP)
City, State, Zip
Phone
Email
CUSTOMER INFORMATION
Name
Address
BILLING INFORMATION
Unit Price
Option(s)
Tax
Shipping (includes applicable crating fees)
SALOON
WINDER (LG.)
SPECIAL INSTRUCTIONS
STANDARD = 54.25" X 54.25"
GATE OPENING & UNIT DIMENSIONS
INTERLOCK (GATE / DOOR)
IN CUSTOM HANDRAIL/ GATE
CANOPY ( LEXAN/ CANVAS)
COMPOSITE FLOORING
CUSTOM BASKET SIZE
DECK GATE
DECK GATE KIT W/ POSTS
EXTENDED THRESHOLD
Print
Signature
WARRANTY AND EXCLUSIONS: The Galaxy Unlimited, LLC lift system carries a 5 year structural warranty and a 1 year warranty on electrical components, beginning when installation is
complete. Owner must register for Warranty within 30 days of installation or Warranty is null and void. Warranty does not apply to the property or structure the lift is attached to, and
is null and void if cargo weight exceeds 1,000 lbs. By signing this contract, the purchaser agrees that no humans shall be passengers on this unit. Galaxy Unlimited, LLC, its owners,
partners, and employees are not liable for any use of product other than what is specified in this contract.
Installation (Contract Labor Form must be signed by cust.)
TOTAL
50% Down Payment
(required)
Balance Due
(prior to shipping)
Date
DEPTH
CUSTOM O.D. _______
WIDTH
CUSTOM O.D. _______
TRAVEL BEAMS/ CABLES
S
O Number: ____________________
$ 0.00
$ 0.00
$ 0.00
$ 0.00
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GALAXY CARGO LIFT ORDER AGREEMENT

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Completed 1 April 2021

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