Online Request for Quotation for a Basler Power Systems Group Product
For quotes on transformers, visit the
Magnetic Product Group section.
Style number, part number or model number of unit(s):
If you do not know the complete Basler style number, please enter as complete a description as possible and our Customer Service staff will contact you to verify details:
Quantity:
Special Comments, Requirements or Markings:
Quote Information (Items in red are required)
Quote Contact:
Company:
Address:
City: State/Province: Zip/Postal Code:
Country:
Line of Business or SIC Code:
Phone:
Email:
Shipping Information
Note: This information will be used to compute shipping charges on your quotation. If you do not wish for shipping charges to be quoted, do not complete this section.
Ship to:
Address:
City: State/Province: Zip/Postal Code:
Country:
Freight: Standard Collect - Account Number:
Optional PPA PPD FOB Destination (Must be approved in writing by Basler Electric and will carry a fee of
$75 per unit, plus freight or 2% of the unit value, plus freight, whichever is higher.)
Order Information
Contact Name:
Address:
City: State/Province: Zip/Postal Code:
Country:
Accounts Payable Contact: Accounts Payable Tel: Accounts Payable Fax: Accounts Payable Email:
Note: Additional information may be required to process your quotation. If so, a representative will contact you at the
phone number or email address listed above. Please print this form for your records.
Your quotation will be forwarded to your email address as soon as possible.
For more information on Basler's product warranties, please refer to our TERMS AND CONDITIONS OF SALE.
If you have any questions, please contact us at info@basler.com or call:
- United States and Canada - 1-618-654-2341, ext. 775
or 769
- Latin America and the Carribean
- 1-618-654-2341, ext. 761
- Other locations are served by our International Customer Service at - 33-3-88-87-1010
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