In to better serve you and meet your schedule, this form must be completed and signed. Timely delivery and installation begin with these data forms. Accurate, complete information is essential. Non-response to a question will be defined as meaning that the item does not apply. Job Type Federal Government State Government Other Government Courthouse Hospital School or University Office Building Private Jail / Prison Other Date: Number of escalators: Consultant (leave blank if none) Job Name (please do not abbreviate): Contact: Phone: Fax: Job Location (city and state): Contract Date: Company name: Project Type: New construction Modernization Job has Specifications Specifications being sent to MCE Elevator Safety Code Compliance Please send a copy of job specifications to MCE. Accurate information is essential. North American Compliance: Customer Job #: PO#: ASME A17.1/B44 Edition: 2010 2007 2004 2000 Addenda/Supplements: 2008(a) 2005(a) 2002(a) Shipping Schedule 2009(b) 2005(S) 2003(b) Control Ship Date ASME A17.1-1996/98 Escalator ASME A17.1- Specify edition & addenda. Escalator International compliance Escalator Australia AS 1735.5 Escalator EN 115 Escalator (Specify): or local code compliance Shipping Information California Contact: Other: Phone: Fax: Additional Compliance Requirements? Explain: Company name and address: Per tax laws, it is critical that MCE receive exemption or resale certificates prior to the material being shipped and billed. If the job is a tax exempt job, send the exemption certificate with this form. If you are a resale customer City State Zip Code and have a resale certificate, please make sure that the Notice required: 24 hours 48 hours Other: MCE accounting department has a copy on file. Form Completed By if lift gate truck needed Contractor Information ( Check if same as above) Phone: Fax: Contact: Cell: Phone: Fax: Email: Email: Company name and address: Company name: Signature: City State Zip Code
In to better serve you and meet your schedule, this form must be completed and signed. Timely delivery and installation begin with these data forms. Accurate, complete information is essential. Non-response to a question will be defined as meaning that the item does not apply. Job Type Federal Government State Government Other Government Courthouse Hospital School or University Office Building Private Jail / Prison Other Date: Number of escalators: Job Name (please do not abbreviate): Job Location (city and state): Contract Date: Project Type: New construction Modernization Job has Specifications Specifications being sent to MCE Please send a copy of job specifications to MCE. Customer Job #: PO#: Shipping Schedule Control Ship Date Escalator Escalator Escalator Escalator Escalator Shipping Information Contact: Phone: Fax: Company name and address: City State Zip Code Notice required: 24 hours 48 hours Other: if lift gate truck needed Contractor Information ( Check if same as above) Contact: Phone: Fax: Email: Company name and address: City State Zip Code Consultant (leave blank if none) Contact: Phone: Fax: Company name: Elevator Safety Code Compliance Accurate information is essential. North American Compliance: ASME A17.1/B44 Edition: 2010 2007 2004 2000 Addenda/Supplements: 2008(a) 2005(a) 2002(a) 2009(b) 2005(S) 2003(b) ASME A17.1-1996/98 ASME A17.1- Specify edition & addenda. International compliance Australia AS 1735.5 EN 115 (Specify): or local code compliance California Other: Additional Compliance Requirements? Explain: Per tax laws, it is critical that MCE receive exemption or resale certificates prior to the material being shipped and billed. If the job is a tax exempt job, send the exemption certificate with this form. If you are a resale customer and have a resale certificate, please make sure that the MCE accounting department has a copy on file. Form Completed By Phone: Fax: Cell: Email: Company name: Signature: