Smedley's Engineers Representative

Smedley's Engineers Rep. *

Smedley's Engineers Rep. Email *

Client Information

Business / Trading Name *

Business Type *

New / Existing Client *

State / Territory *

Contact Person Name *

Email Address *

Phone / Contact Number: *

Requirements

Access / Bridge / Route Requirements *

Hauling Unit

Prime Mover or Truck

Prime MoverTruck

Steer

Single SteerTwin Steer

Drive

Tandem DriveTri Drive

FUPS - ADR 84

YesNo

Engine Emissions - ADR 80/01 or Later

YesNo

Cabin Strength - UN ECE R29

YesNo

Rating Letter Attached ( Answer 'Yes' or 'No' )

Tyre Size & Model Preferred

Combination Type

Other (please specify) *

Trailer Configuration

Lift Axles

YesNo

Steer Axles

YesNo

Tyres

Dual TyresWide Super Single Tyres

Tyre Size preferred - Trailer

Dolly Configuration

Select Dolly Configuration

SingleTandemTri

If other, please specify...

Lift Axles

YesNo

Steer Axles

YesNo

Tyres

Dual TyresWide Super Single Tyres

Tyre Size preferred - Dolly

Commodity Carried

TIPPER

Other

Payload Height Required

DOG TRAILER AXLE CONFIGURATION

Front

Rear

SEMI TRAILER AXLE CONFIGURATION

Number of Axles

Split

TANKER

Number of Compartments

Provide Volume & Maximum Fill Levels

Height to Top of Tanker Body

SKELETAL

Select

ContainersIsotankersOther

Other (please specify)

Slosh Assessment Required

YesNo

Commodity Carried

CURTAINSIDER

Deck Type

Flat DeckDrop DeckDouble Drop Deck

Refrigerated

YesNo

Commodity Carried

Payload Height Required

VAN

Refrigerated

YesNo

Commodity Carried

Payload Height Required

JINKER - LOGS

Payload Height Required

CAR CARRIER

Payload Height Required

FLAT DECK

Select

Flat DeckDrop DeckDouble Drop Deck

Commodity Carried

Payload Height Required

Axle Management / Brake Technology

Select all that apply (e.g. 'Does your truck have EBS, ABS and LBV?')

Truck

EBSABSLPV

Trailer

EBSABSLPV

Dolly

EBSABSLPV

Safety Aids

FUPS

YesNo

Side Under-run

YesNo

Autonomous Braking

YesNo

Lane Change Avoidance

YesNo

Other Information

Drawing/Measurements Provided to Smedley's Engineers?

YesNo

Does the Client Require a Drawing Template?

YesNo

Any Additional Comments

Upload Any Supporting Documents / Drawings / Measurements, etc.

Browse

Client's Needs in Detail

How many Trucks, Trailers, etc.? *

If more than 1, are they identical/require the same work?

Use this field to input detailed notes about the client's needs and job requirements. This information will support the creation of an accurate quote/invoice. *

Before submitting this form, please ensure that all of the information you have supplied above is correct.

The Smedley's Engineers Pty Ltd TERMS & CONDITIONS OF TRADE can be found HERE.

By ticking this box, you confirm and acknowledge that you have read and agree to the Smedley's Engineers Pty Ltd Terms & Conditions of Trade. *