Machinery Information Request Form

Please fill in as much information as you can.

Name:
Company:
Address1:
Address2:
City:	State:	Zip:
Phone:
Fax:
E-Mail:
Web Site:

I plan to purchase this equipment in the next:

Immediately
2-4 Weeks
2-4 Months
6 Months
1 Year or More
Just gathering information

Please list all of the STOCK numbers that you would like information on.
If you did not find what you were looking for.
Please include a description so that we may try to locate it for you:
Equipment Needed:

I have the following Items of Surplus equipment available for sale:
Where possible please include your asking price.
Surplus Equipment:

Average response to this request form is two business days.
If you have an immediate need please contact Action Machinery.
Phone (610) 691-6677 or Fax (610) 694-0944
Thank You.

Only press the Send button One time,
It may take a few seconds before you see the thank you response.

NOTE: This can not be Undone