Service Inquiry
Aftermarket Service Request
* Required field

* Location: -- Select -- Seattle (SEA) Vancouver (VAN) Kennewick (KENN) Spokane (SPOK) * Customer: * Contact: * Phone: * Email: PO#:

Site Address: Quote Required By: Job Required Completion Date: Overtime Authorization: -- Select -- Yes No Prevailing Wage: -- Select -- Yes No

EQUIPMENT DESCRIPTION:

Make: Serial#: Fluid/Gas Type: Application:

Model#: Size: SDS/MSDS (Include with equipment):

FIELD SERVICE & SAFETY:

Is a Job Walk Required? -- Select -- Yes No Onsite Safety Training Required? -- Select -- Yes No

Does the job site require special access? (TWIC, Badging, etc) -- Select -- Yes No

If yes, please specify:

JOB SCOPE:

* Requested Job Scope: Special Instructions & Notes: (Max characters = 500)

Service Type: -- Select -- Breakdown Planned Maintenance Push/Pull Troubleshoot Startup

B&K Terms of Sale apply. This form describes B&K's understanding of your requirements.
Open & Inspect charges apply if the unit is not repaired by us. If anything on this report is incorrect, please contact us.
Thank you for this opportunity!

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