A.L.L. LIFTS, LLC Product Request Form

OR: CCB#140712/Elev Lic#15-275EC

CA: CSLB# 815148

A Lift of Life

A.L.L. LIFTS, LLC

OFFICE Phone: 541-245-9298—Toll Free: 1-877-245-9298

Fax: 541-245-0234

SHOP PHONE (Blackwell RD): 541-821-3351

Email: allLifts1@aol.com

A.L.L. LIFTS, LLC

Product Request Form

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Stair Chairs

Product Request Form

Please check the items below that you would like information on.

Wheelchair Lifts

Dumbwaiters

Small Elevator

A Lift of Life

Name:

Straight Stairwell (indicate below if landings in-between)

Curved-180 degrees

Curved-90 degrees

Manual

Automatic

Other Product

Portable Lift

Incline Lift

Vertical Lift

Custom Install

Service to Existing

Other (specify below)

Specified Below

FOR INQUIRIES OUTSIDE THE SOUTHERN OREGON OR NORTHERN CALIFORNIA AREA, WE HIGHLY RECOMMEND SILVER CROSS Stair Lifts.

Bruno Electra-ride III