Request A Quote

We at Industrial Pump and Motor Repair, LTD invite you to send us your quotation requests for your repair needs.

This form is designed to facilitate your quote requirements. Simply complete the
fields below and click submit. An IPMR representative will we contacting you shortly.

We at IPMR respect your privacy and encourage you to review our
Internet Privacy Policy by clicking here. Fields with a red* are required fields and
must be complete in order to process your request. Thank you.

Company / Organization Name *
Address
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Zip Code
Phone + Area Code *
Fax Number
Your Name *
Your Title / Position *
Return Email Address *
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Please provide information regarding your quote request.
Electric Motor		Pump
Select a Service
If Other Please Explain
Manufacturer
Model Number
Part Number / Description
Please provide a brief description of what you would like us to quote.
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