Custom Device Req

Download the BRF Custom Device Questionnaire (This Form) or fill the form out here online
For additional information or assistance with your request, please call us at (309) 274-5377.
Our fax number is (309) 274-5021
All Jobs will be worked on in the order they are received; first in, first out.

Customer Contact Information

Date

Name

First Last

Address

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

Email

Phone

BRF Custom Device Questionnaire

Please fill out the fields below

What does the Part Weigh in pounds?*

What is the required WLL of the lifting device*

How will the part move after being picked up toward final destination?*

Angle*

Please enter a value between 0 and 360.

Will the part be picked up out of a container / pallet / work bench etc.?

Yes
No

Is there any head room, obstructions or clearance issues?*

How will the lifting device be attached?*

What diameter / size lifting eye is required?*

Are prints available for the part?*

Yes
No

(BRF accepts .STP & .PRT files) If NO Provide Sketch

Is there specific tolerances required for the lifting device?*

What are the critical dimensions (feet or inches) needed to design the lifter?*

Please Provide Sketch

Are there acceptable / preferred locations to lift the part?

Yes
No

If Yes above - where can we grab the part to be lifted?*

EMAIL PICTURE

Can you get a picture of the part or current lifter?

Yes
No

EMAIL PICTURE if possible

What is the required finish of the lifting device?*

Is special certification or proof testing required?*

How many does the customer need?*

CAPTCHA

Clicking the SUBMIT button will email your completed form to BRF

Custom Device Req

BRG Custom Device Questionnaire

Customer Contact Information

BRF Custom Device Questionnaire