E-MAIL INFORMATION FORM
Repair Service Company, Inc.
1445 U.S. 35 North
Fraziers Bottom, WV 25070
Toll Free: 1-800-264-2215
Fax: 1-304-937-2861

Instructions:

  1. Fill in the required company information
  2. Email address mandantory for return reply
  3. Bullet either Buying or Selling
  4. Fill in the specific information for the Centrifuge you want to buy or sell .
  5. Click on the SEND button -- and you're done!
  6. Someone from Repair Service Company, Inc. will be contacting you shortly. 

Customer Information:



                    Name  
Company Name  
               Address  
                    City      State  Zip 
                 Phone  () -    Ext #:


               FAX #    

                  E-Mail *  
                                      *mandatory for return reply

Buying or Selling?

 Please select one: Buying Selling
CENTRIFUGE INFORMATION:
Manufacturer Name:
Model:

Type:

Serial #:

TECHNICAL INFORMATION:
Construction Material Info:
Bowl Info:

Conveyor Info:
Lubrication Info:
Seals Info:
Speed Info:

DRIVE MOTOR INFORMATION:
Drive Motor Manufacturer:
Drive Motor Horsepower:
Drive Motor Voltage:
Drive Motor Phase:
Drive Motor Amperage:
R.P.M.'s:

REDUCER INFORMATION:
Reducer Backdrive:
Reducer Type:
Reducer Ratio:
Reducer Model:

WEIGHT INFORMATION:
Net Weight (w/o motor) #:
Rotor Weight (w/ reducer) #:
Conveyor Weight #:
Case Weight #:
Reducer Weight #:
ADDITIONAL INFORMATION:
Information #1:
Information #2:
Information #3:
Information #4:
Date Manufactured:
Date Last Reconditioned:
Time In Use Since Last Recondition:
Overall Condition:
PRICE INFORMATION:
If you are selling a centrifuge please put your
asking price below
Price : $

[Repair Service Co., Inc.] [RSC - FAX Form] [RSC - Email Information Form]
[Centrifuge Brokers Information] [Complete Turn Key Service]
[Equipment For Sale]