JavaScript isn't enabled in your browser, so this file can't be opened. Enable and reload.
Request for quotation - Lloyd LS series
Please complete all fields
Sign in to Google
to save your progress.
Learn more
* Indicates required question
Email
*
Your email
Last Name
*
Your answer
First Name
*
Your answer
Company
*
Your answer
Street Address
*
Your answer
City
*
Your answer
State
*
Your answer
Zip Code
*
Your answer
Model to Quote
*
LS1 1kN single column
LS1 1kN single column extended travel
LS2.5 2.5 kN, high speed single column
LS5 5kN single column
LS Series Model
LS1 1kN single column
LS1 1kN single column extended travel
LS2.5 2.5 kN, high speed single column
LS5 5kN single column
LS Series Model
Number of Load Cells
*
1
2
3
4
Load Cell Qty
1
2
3
4
Load Cell Qty
Software Options
*
Select software options
Nexygen Software
2 in 1 Tablet, Windows 10, colomn mounted, Nexygen Software Preloaded
None
A brief description of tests you will be running including Test Standard Number if applicable.
*
Your answer
Thank you for your for request. We will be get back to you shortly. Please add any other additional information you think may be useful in the space below.
Your answer
Send me a copy of my responses.
Submit
Clear form
Never submit passwords through Google Forms.
reCAPTCHA
Privacy
Terms
This content is neither created nor endorsed by Google. -
Terms of Service
-
Privacy Policy
Does this form look suspicious?
Report
Forms
Help and feedback
Contact form owner
Help Forms improve
Report
