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Parts Request for Quote Form

Burke Porter can supply spare and replacement parts for all of our product lines. Our Parts Department can be reached at (616) 234-1235, or by filling out the Parts Request for Quote form below.

Or click this Icon to download the faxable/e-mailable form as a Word document.

Using the Parts Request for Quote Form
When communicating via e-mail, please fill in the form fields below and include the machine model number, serial number, a detailed description of the part required (including the part number and manufacturer name if available) and how to contact you with our quote.

Name:
 Company:
Phone:
 Location:
Fax:
 E-Mail:

Please respond by:
E-Mail: Conventional Mail: Fax:

If you would like us to send your quote via conventional mail
please include the following information:

Address:
City:
State:
Country:
Postal Code:

ITEM #1
Type of Machine (Model & Serial Number)

Model Number:
 Other:
 Serial Number:

Description of part (include part number and manufacturer if available)
Quantity:    

ITEM #2
Type of Machine (Model & Serial Number) Same as above

Model Number:
 Other:
 Serial Number:

Description of part (include part number and manufacturer if available)
Quantity:    
ITEM #3
Type of Machine (Model & Serial Number) Same as above

Model Number:
 Other:
 Serial Number:

Description of part (include part number and manufacturer if available)
Quantity:    
ITEM #4
Type of Machine (Model & Serial Number) Same as above

Model Number:
 Other:
 Serial Number:

Description of part (include part number and manufacturer if available)
Quantity:    
ITEM #5
Type of Machine (Model & Serial Number) Same as above

Model Number:
 Other:
 Serial Number:

Description of part (include part number and manufacturer if available)
Quantity:    

 

 

2007 Burke E Porter Machinery. All rights reserved.