FAX: +49 (0) 4221 853-345 - E-MAIL: anbauuntersuchung@palfinger.

com
Entry form (motor vehicle, semi-trailer or trailer)

Motor vehicle

PALFINGER Tail Lifts GmbH

Fockestr. 53, D-27777 Ganderkesee
Tel.: +49 (0)4221 853-337/338/339
www.palfinger.com/mbb
H unladen / H laden

Tail lift
Type:
Lifting capacity:
Platform height:
Platform width:

Please choose the type of chassis frame:

Semi-trailer or trailer
H unladen / H laden

* movement of
tandem trailer

E frame dim.
Please enter dimensions: O width of belt
H unladen M to the rear axle R frame height
H laden N body overhang
C1 side member d drawbar diametre vehicle manufacturer:
C2 cross member V rear wall vehicle type:
C3 floor panel U nose long wheel base:
C (R+C1+C2+C3) Rx cut out dimension drivers cab:
D to spring Ry cut out box dim. outside width:
Dk to mud guard DKL* box overall length:

Please provide information requested below:

stabilizer mechanical hydraulic rear axle suspension: leaf spring

hitch X: Y: pneumatic spring/air suspension

low coupling X1: Y1: voltage: 12 volt

24 volt
ball head coupling

company: comments:
address:
postal code/town:

date: po#: contact: tel.:

Dimensions may vary. Subject to technical changes, errors and translation mistakes. MBB 11/2014
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