White Armature Inc Quote Request Form
White Armature Inc Quote Request Form
Name
Name
*
First
Last
Company Name:
*
Email
*
Phone
Phone
*
-
###
-
###
####
Address
Address
*
Street Address
Address Line 2
City
State / Province / Region
Select a State
Alabama
Alaska
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
District of Columbia
Florida
Georgia
Hawaii
Idaho
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Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
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Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
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Ohio
Oklahoma
Oregon
Pennsylvania
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
Vermont
Virginia
Washington
West Virginia
Wisconsin
Wyoming
Postal / Zip Code
Country
United States
Motor Details
Quantity/Number of Units:
*
Motor Type
*
Motor Type
AC
DC
Horsepower (HP)
RPM
Voltage
Frame Size
Serial Number (if available)
Type of Service Requested
Type of Service Requested
Type of Service Requested
Motor Repair – Diagnostics, rewinding, balancing
Motor Rebuilding – Complete refurbishment to OEM specs
New & Rebuilt Motor Sales – Find the right motor for your needs
Custom Machining & Fabrication – Modifications, reverse engineering, or part fabrication
Emergency Services – 24/7 repairs to minimize downtime
Urgency of Request
Urgency of Request
Standard Service – Normal turnaround time
Emergency Service – 24/7 priority repair for urgent needs
Additional Details
Additional Details
Specific performance issues
Required modifications
Special requirements or custom requests
Attachment (if applicable):
Upload any relevant documents or images
Attach Files
How Did You Hear About Us?
*
Referral
Online Search
Social Media
Other (Please specify):