M.I.S Industry Partner

Request for Machine Tool Quote

Thank you for considering Beta Technology for  your Machinery and Equipment needs.  

This form is intended to provide us with the basic information needed to estimate the time and resources in order to prepare a quote for the services you will be requiring. Please provide the following information, which will be maintained strictly confidential.  You will have a response from us within approximately 48 hours (excluding weekends). Take a moment and fill in as much as possible so we can better assist you.

All fields in blue are required to process this form.

Name
Title
Company
Street Address
Address (cont.)
City
State/Province
Zip/Postal Code
Country
Phone
FAX
E-mail
Website
	How would you like to be contacted?   E-mail     Phone     Fax      Mail

List Machine Tool(s) you want a Quote for: 


Purpose of the Machine Tool Quote:  Select Value Replace Existing Machine To Add Capacity For Future Reference For Resale Other

What price range are you considering for this  Machine Tool Quote:  Select Value Under $10,000 $10,000 - $25,000 $25,000 - $50,000 Over $50,000 Other

Will you need financing?  Yes   No

Will you need rigging?     Yes   No

Will you need trucking?   Yes   No

What is your time frame?

Immediate                    Within 30 - 60 days        Within 3 - 6 months   
Within 6 - 12 months      Longer than 1 year        Gathering information only

Please include more information about your needs?