Contact Us- Bortek Industries - Questions/ Comments/General Requests

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When is the best time to contact you?

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How did you find us? *

Other source:

Which of our products or services are you contacting us about? *

Product of interest

BuyGeneral Info

I'd like to schedule a demoI'd like to request a quote

Tell us more about your planned application or any problem areas:

Attach images of problem areas:

Where the buying decision will be made:

Where the product will be used:

Additional contact requests: Please have a sales person contact meRequest an on-site survey

Request additional information about:

Please type your comments and/or questions below:

Do you know the part number(s) you wish to order? YesNo

Bill To:

Same as above

Company Name*

Contact Name*

Address*

P.O. #

City*

State*

Zip*

Order Information

Make

Model

Serial Number

Order Parts:

Please input as much information as you know and we'll help you find the part you're looking for.
You can also attach photos of the machine and the part you’re looking for if you're having trouble finding code numbers or info.

Machine Information:

Make

Model

Serial Number

Attach a picture

Comments / Additional Parts

Thanks! We'll follow up with you before making anything final.
If you are a current customer, ask us about using CustomerLink to directly order your parts!

Please select your rental category: Street SweepersSweeping (Dry Cleaning)Scrubbing (Wet Cleaning)Sewer Vac Truck Rental, Hydro Excavator Truck Rental, or Sewer Jetter Rental

Street Sweeper Rental Reservation:

Street Sweeper Rental Type (if known)

Date Preferred

Desired Rental Period*

Special Considerations to your request:
Send me more informationContact me to schedule a free onsite demo

Date Preferred

Desired Rental Period*

Special Considerations to your request:
Send me more informationContact me to schedule an onsite demo

Make/Model of Requested Rental (if you're unsure, simply leave this field blank)

Desired power source: Battery/ElectricGasolinePropaneDiesel

Desired machine type: Ride-OnWalk-Behind

Desired scrub type: DiskCylindrical

Environment for Intended Use*

Application area:

Floor/Surface Type*

Estimated Square Footage of Facility to be Cleaned

Picture of Area to be Cleaned (optional)

Desired Rental Period*
(Our rental periods: 3 days, 1 week, 4 weeks, long-term)

Special Instructions

Does your service address differ from your company address? YesNo

Service Address*

City*

State*

Zip*

Unit Information #1

Unit Type

Manufacturer

Model Number

When was the last time the machine was properly serviced? *

Service Needed*
EstimateRepairMachine is Down

Please describe the problems experienced:

Photos are extremely helpful for efficient service. Please attach pictures here if possible.
(Max file size: 5 MB)

Picture #1:
Picture #2:
Picture #3:

Do you need additional units serviced?
YesNo

Unit Information #2