General information
Contact person
Company *
Client ID
email *
Telephone *
Copy to email
Technical contact person
Telephone
Function
Invoice address
Company
Cost unit / Construction site
Street/No *
ZIP Code/City *
Different delivery address
Contact person on site
Telephone number on site
Street/No
ZIP Code/City
Desired pick-up/delivery date
Start of lease *
End of lease *
Technical specifications
Mounting device
Brand and type of excavator*
Note on the Mounting device
Tilt
Tiltrotator
Hydraulic oil brand/type
Clutches on the excavator
Quick coupler adapter data
Quick coupler type or image of type plate; e.g. Fig. 2
Quick coupler manufacturer
Quick coupler adapter type
Adapter measure
A. Axle dimension (mm)
B. Bolt diameter (mm)
C. Inner width (mm)
Distance clutch on handle - end of coupler (approx. specification): Ex. picture 1
Please add the following images
1. nameplate of quick coupler
2. general view of excavator arm with hydraulic couplings
3. view of clutches on the left
4. view of clutches on the right
5. Image of adapter from attachment
Comments
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