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Order Desk/Quotation Request

Use this form to order COMPLETE UNITS
Use the Parts Order Form to order PARTS (i.e.: brushes, switches, internal fan blades, etc..)
Use the Request For RGA Form to return goods.

Please complete all requested information. 
Want to open an account? Click here now!
All orders will receive a faxed/e-mailed confirmation with expected delivery dates.

bullet(A) Item(s) Needed:

4 ways to obtain Product #/Item Description
    (A) From your item(s),  enter the nameplate information
    (B) From your personalized Bock ActionFaxJ enter Model #  only
    (C)
Browse Catalogue, highlight desired Product # (s), right click, copy
                                       return here to paste
    (D)  No Product #? No problem. Enter ALL information you have available

If you have ordered the item(s) from us before, or pasted Product #(s)
from the catalogue, the Description IS NOT NECESSARY.


Examples:  4N034 (Product#)  and/or   5Hp 1725 575 184T 3ph w/Base TEFC
                  4C448 (Product#)  and/or   Blower: 148CFM 1350RPM 115 1ph  

QTY

Product #

 Enter Description as shown  or Paste from Catalogue

bullet    (B) Account Info:  

                 Select:   *Account #  

If your Account # is known, complete only these (*) fields. Otherwise complete ALL fields.

C.O.D. (Cash/Cheque) available in >>only. If your city is not listed, apply for an account.
Shipping Information

Company 

*First Name

  Last name

Street Address

       *Postal/Zip

City

          Prov/State

*Phone w/area code

        Fax w/area code:     format ###-###-###

*Email Address

*Purchase Order

Comments/Notes

Promo Code #

(if applicable, provide supplied promotion 
code here)
Terms: "On Account" customers will be billed on a NET 30 basis subject to your current credit standing. C.O.D. customers will be notified of exact amount due at time of delivery. NSF cheques are subject to a $40.00 service charge. Goods remain property of Bock Motors In Motion until paid for in full. By submitting this form you agree  to these terms. 
bulletOrder Priority:

bulletOrder Date:

-- mm/dd/yy

If you experience problems submitting this form, you may print it out and fax it to us
@ (416) 352-6141

That's it!   Your Order will be processed the same day it is received.
                     Thank you! We appreciate your business!

      


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Bock Motors In Motion
Phone #416-674-2303 or #1 (213) 471-8671      Fax# 1 (866) 286-2089
Comments/Suggestions about this Web site, please e-mail sales@bockmotors.com

Copyright 2006 (Bock Motors In Motion). All rights reserved.