Coker Equipment Co., Inc.

BID FORM / QUOTE SHEET
please fill out the form below and click the SUBMIT button located at the bottom of the form.

Company Name
Mailing Address
City
State
Zipcode
Telephone No.
Fax No.
e-mail Address
Contact Name
Project Name
Project Location
Union Project Non-Union Project Prevailing Wage (please check one)
Type of Structure Frame: Steel Concrete (please check one)
Height of Structure	Height of Floors
Type of Equipment Required (tower crane, personnel material hoists, etc.)
Lease Purchase (please check one)
For Tower Cranes:
List the type / model of crane, or list hoisting requirements:
Jib Length	Hook Height
Rental Period	Delivery Dates
Location: Inside Building Outside Building (please check one)
For Personnel / Material Hoists: Type of hoist: High Speed Low Speed (please check one) Single Cage Dual Cage (please check one)
Location: Inside Building Outside Building (please check one)
Tower Height	Rental Period
Any Special Considerations or Requirements?

Thank You for allowing Coker Equipment to bid on your project.