Chiller Resources, Inc.
13269 Airline Highway
Gonzales, LA 70737
Phone: 225/644-5975
Fax: 225/644-4109
Toll Free: 888/609-7156
sales@chillerresources.com

Investment Recovery & Consignment
Equipment Information Request Form

Fill in the following information and we will get
back to you as soon as possible. Thank you for your time.

Name:
Company Name:
Address:
City:
State & Zip:
E-mail Address:

Telephone Number:
Fax Number:
Preferred Contact:
Type of Equipment:

Manufacturer::
Model #:
Serial #:
Year:
Nom. Tons:
Power:
Hz:
Volts:
Starter Included:
Condition:
Running Until?:
 (month/year)
Reason for Removal:
Interest:
Ask. Price:
Price Flexibility:
Picture Included?:
 

Comments or Questions:


 

 

 

 

 

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