Wisconsin Lift Truck

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Company Name*		Sign-up to Win!
Industry*
First Name*
Last Name*
Title*
Address*
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E-mail address*
Business Phone #*
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Preferred Method of Contact? (choose one)

E-Mail Business Phone Fax Cell phone

How many lift trucks do you use at your company?

What type of equipment do you use? (Check all that apply)
Sit-down Electric	LP Gas/Gas	Diesel	Straddle Stackers	Industrial Cleaning
Stand-up Electric	Reach	Narrow aisle	Powered Pallet	Personnel Carriers
Side Loaders	Turret	Order Pickers	Aerial	Skid Steers
Sit-down Internal Combustion	Pneumatic Tire Lift Truck

What special-priced products/services would you be interested in? (Check all that apply)
Lift Trucks	Rail Car Movers
Aerial Equipment	Warehouse Storage/Shelving
Loaders	Plant & Warehouse Material Handling Products
Industrial Cleaning Equipment	Technician Training
Parts	Operator Safety & Training
Service	Fleet Management Services
Rentals	Industrial Engines
Used Equipment	Generators

Would you be interested in receiving New Product Information & New Material Handling Technology available that could save you money?