Service Inquiry

Aftermarket Service Request

* Required field

Location:

Customer:

Contact:

Phone:

Email:

PO#:

Site Address:

Quote Required By:

Job Required Completion Date:

Overtime Authorization:

Prevailing Wage:

EQUIPMENT DESCRIPTION:

Make:

Serial#:

Fluid/Gas Type:

Application:

Model#:

Size:

SDS/MSDS (Include with equipment):

FIELD SERVICE & SAFETY:

Is a Job Walk Required?

Onsite Safety Training Required?

Does the job site require special access? (TWIC, Badging, etc)

If yes, please specify:

JOB SCOPE:

Requested Job Scope:

Special Instructions & Notes:

(Max characters = 500)

Service Type:

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!