JavaScript isn't enabled in your browser, so this file can't be opened. Enable and reload.
CORE Application Intake Form
Sign in to Google
to save your progress.
Learn more
* Indicates required question
Company/Organization Name
Your answer
California Address (location where equipment will be used; if multiple addresses, please list all addresses below)
Your answer
CORE Contact Name
*
Your answer
CORE Contact Title
Your answer
CORE Contact Phone
*
Your answer
CORE Contact Email address
*
Your answer
How many forklifts are you interested in purchasing?
Choose
1-5
6-10
11-20
21+
Don't Know
What forklift(s) are you interested in?
World Lithium (8,820 lb. lifting capacity)
Wiggins eBull (10,000 lb. lifting capacity)
Wiggins eBull (12,000 lb. lifting capacity)
Wiggins eBull (15,500 lb. lifting capacity)
Wiggins eBull (20,000 lb. lifting capacity)
Wiggins eBull (22,000 lb. lifting capacity)
Wiggins eBull (26,000 lb. lifting capacity)
Wiggins eBull (33,500 lifting capacity)
Wiggins eBull (36,000 lifting capacity)
Wiggins eBull (52,000 lb. lifting capacity)
Wiggins eBull (55,000 lb. lifting capacity)
Wiggins eBull (60,000 lb. lifting capacity)
Wiggins eBull (70,000 lb. lifting capacity)
Wiggins Marina eBull (40,000 lb. lifting capacity)
Wiggins Marina eBull (54,000 lb. lifting capacity)
Wiggins Marina eBull (48,000 lb. lifting capacity)
Other:
Will each piece of equipment be used for at least 200 hours per year?
Your answer
What will the new forklift(s) be used for?
Your answer
Do you need the forklift(s) to be a 2 stage or 3 stage mast?
2 stage
3 stage
Both 2 stage and 3 stage
Don't know
Clear selection
Will you need a charger for each forklift purchased?
Yes
No
Don't know
Other:
Clear selection
Any other details, special requirements or notes you can provide us?
Your answer
Submit
Clear form
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google.
Report Abuse
-
Terms of Service
-
Privacy Policy
Forms
