Inquiry Form

INQUIRY FORM

Contact Data :

Name

Position

Company Name

Company Address

City

Phone No.

Mobile No.

Fax No.

Email Address

No. of Employee

Main Business
 Project Owner Civil Contractor Structure Subcontractor M&E Engineering Contractor Shipyard Power Plant Contractor Refinery Contractor Other

Website Address

Required Crane Data :

Required Number of Crane :
units

Required Height :
meters

Required Jib Length :
meters

Rental or Purchase :

Duration of Usages :
months

Location of Projects :

Do you have any experience in using tower crane?

 Yes No

If yes, please advise what brand of tower crane you ever used?

Where did you use it?

Name of project :

Location of project :

Period (month/year) :
until

Can we contact you and make an appointment with you?

 Yes No

PT POTAINDO MACHINERY

SALES OFFICE :
JL. AGUNG UTARA RAYA BLOK R/62
SUNTER PARADISE
JAKARTA 14350 INDONESIA
PHONE: +62 21 645 1248 (HUNTING)
FAX: + 62 645 8877
EMAIL: sales@potaindo.com
WEB: www.potaindo.com

WORKSHOP :
JL. PUNGUT 62
RAYA NAROGONG KM 6.8
BEKASI 17161
PHONE : +62 21 821 2020 (HUNTING)
FAX : +62 21 8204079

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