Your Contact Details /Quotation Return Address

Title*:	Mr Mrs Miss Ms Rev Lord Lady Dr Other
First Name:
Surname*:
Your Organisation / Company name*: (if you do not represent an organisation or company, please enter the word site)
Address*:
Town*:
County*:
Post Code*:
Country (if outside of UK):
Contact telephone number*: (including dialing code)
Email address*:

Site Details

Building Type*:	Offices Leisure Industrial Place of Worship Retail Education Historical Domestic Property Other
Site Reference*: (e.g. Norwood House or Plot 27)
Address:
Town*:
County*:
Post Code:

General Lift Requirements

Product Identification: The Linwood Xpress is an inclined wheelchair platform stairlift suitable for straight stairways (not suitable where mid landings, horizontal travel or bends are present). It is a popular and cost effective solution, which requires little or no building alterations.

Number of Risers*: (vertical part of the step)
Riser Heights*: (vertical part of step - average)	mm
Going Depth*: (horizontal part of step - front to back, average)	mm
Lift Location*:	Indoors Outdoors
Stair Width*:	mm
Did you measure the stair width from*:	Handrail to Handrail Handrail to Wall Wall to Wall
Stair Construction*:	Timber Concrete Steel Other Don't Know
Wall Construction*:	Brick Blockwork Studwork Other Don't Know
Distance from bottom step to nearest obstruction at the lower landing*: (e.g. doors or adjacent wall)	mm
Platform configuration*:	Through Access (on at the front, off at the back) Adjacent Access (door entrances at 90 degrees to each other) Don't Know

Options

Please choose from the following options, if applicable.

Folding Seat: (for semi-ambulant users)
Attendant Controls: (hand held control buttons for use by an attendant)
Battery Backed Emergency Lowering: (allows the lift platform to be conventionally lowered for evacuation purposes in the event of a power failure)
Auxiliary Power System: (ensures the lift will continue to operate during a power failure)
Fire Alarm Integration: (ensures the lift will not obstruct stairway during evacuation)
Special Colour (RAL): (From RAL colour chart) (Note: Standard finishes: Platform Colour: Stone Grey – RAL 7030, Guide Tube Colour: Extruded Aluminum)

The above options are our most popular. Please contact us if you have any specific requirements that are not listed above.

Your comments or special requirements: