Shaver-Kudell Manufacturing Inc.

Catalogue Request
Please fill out the following in its entirety to request a catalogue via e-mail. If you request one faxed or mailed to you, please call us at the number below.

Have you ever ordered from us before?

Yes
No
Not sure

What is your primary business?

Electric Motor Repair
Machine Shop
Other (please specify below)

How did you find our website?

Advertisement
Web surfing
Friend/Associate

How many employees?

1-10
11-20
21-plus

Would you like to be notified when new products are available?

yes
no

How would you prefer to be notified by?

e-mail
fax
mail

How many end bell repairs do you do per month?

1-10
11-20
21-plus

How many shaft repairs do you do per month?

1-10
11-20
21-plus

How many plastic fans do you replace per month?

1-10
11-20
21-plus

How many aluminum fans do you replace per month?

1-10
11-20
21-plus

How many terminal boxes do you replace per month?

1-10
11-20
21-plus

What type of terminal boxes do you replace? Check all that apply.

Plastic
Aluminum
Cast Iron

Comments:

Company Name:

Address:

City:	State/Province:

Country:	Zip/Postal Code:

Contact Name :

Phone:

Fax:

Email:

Company's Website:

To contact us:

Phone: 613.931.1187
Fax: 613.931.2256
Email: sales@shaverkudell.ca

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