Power Pusher® - NuStar Demo Program Request Form

Nu*Star Demo Program Request Form

First Name	*
Middle Initial
Last Name	*
Company
Address 1
Address 2
City
State
Postal Code
Business Phone	*
Business Fax
EMail	*
What are you trying to move?
How many objects in total?
What is the maximum weight to be moved at one time?
Object Width
Object Length
Object Height
What material is the frame made of?
What is the distance from the floor to the bottom of the frame?
What type of casters?
Diameter of casters?
Number of casters?
Fixed or Swivel?
What is the arrangement pattern of the casters?
Is this a pushing or pulling application?
How often is the item moved?
What is the floor surface like (concrete, wet, dry, etc.)?
How are you currently moving the item?
Is the need to increase speed or is it safety related?
Are you willing to modify the item for ease of attaching?

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