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

City/ State

Zip Code

Phone + Area Code *

Fax Number

Your Name *

Your Title / Position *

Return Email Address *

Retype Email Address *

---

Please provide information regarding your quote request.

Electric Motor

Pump

Select a Service Select One From Below Repair Sales Field Service Replacement Part other

If Other Please Explain

Manufacturer

Model Number

Part Number / Description

Please provide a brief description of what you would like us to quote.

---

Optional Question

How did you find our website?

---