Internal Lead Form for Customer Care and Sales Associates

Click to try the NEW Internal Lead Form!

    Required fields are marked with an asterisk (*).

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

    Bill To:

    Same as above

    Order Information

    Order Parts:

    Please input as much information as you know and we'll help you find the part you're looking for.

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    Please note: If you, somehow, managed to find this page and you’re not one of Bortek’s employees, you can simply ignore what’s here as it offers no value to you. We highly recommend checking out the content on these pages though!!