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CUSTOM SAFETY LATCH KITS REQUEST FOR QUOTATION CUSTOMER NAME DATE ADDRESS CONTACT NAME TELEPHONE FAX E-MAIL HOOK Working Load Limit (At the Head Fitting) ______ Metric Tonnes Application / Environmental Conditions Used. ______________________ TYPE (Please one only) Single Duplex (Rams Horn) Size (Din, Euro style) __________________ Other (Please Specify) __________________ DIMENSIONS Shank Diameter (A) ________ mm Length (B) ________ mm Throat Opening (C) ________ mm Distance (D) ________ mm Lug Width (E) ________ mm Hole Diameter (F) ________ mm SPECIAL REQUIREMENTS Coating (Otherwise standard SuperLift coating system used) ___________________ Other (Please Specify) ___________________ 21 All specifications & dimensions are subject to change without notice. Ph: +(613) 9357 0277 www.superlift.com.au Fax: +(613) 9357 0621