Information Request Form

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*Type of Goods Processed

Please assist us in providing the best response to your needs by taking a moment to indicate the items that are of specific interest:

Open Pocket Washer/Extractors 75 - 275 lb. 400 - 500 lb. 600 lb. & Above  
Dryers or Tumblers 100 – 300 lb. 400 - 500 lb. 600 lb. & Above  
Automated Washroom System      
Flatwork Ironers 6-Roll  8-Roll    
Folders  Small Piece Large Piece    
Tunnel Finishers or Presses      
Monorail or Conveyors      
Mechanical Equipment  Boilers Water Systems Air Compressors  
Repair Parts & Supplies      
Technical Assistance      
Used or Rebuilt Equipment Item 1  
  Item 2  
  Item 3  
Purpose: Replacement New Facility    
What is your approximate timeframe for purchasing equipment?

Have you worked with Brim Laundry Machinery Co. previously?

Please indicate below any further details or concerns:

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