Aqua Engineers Parts Washer Info Request

For any information that you may need please complete this form. If you are in the Atlanta area please request your free demo.  Please fill in as much or as little of the form as you would like. Contact name:  Position:  Company name: Phone number:Ext. Fax number: E-mail address: Address: City/Town: State/Prov.: Post./Zip Code:  Country: Check all that apply: What methods are you using to clean parts? Steam CleanerAuto Parts WasherDip TankOther     If other, describe: What sizes are the parts being cleaned?  LargeMediumSmallCustom     If custom, describe: Have you ever been contacted by the EPA regarding your waste-water discharge?YesNo What type of contaminants do you have to clean? Oil/Grease Baked-on CarbonOther     If other, describe: Do you currently use soaps, phosphates, or other solvents to clean? SoapsPhosphatesOther SolventsNone     If other, describe: What is the best time of day to reach you? Morning AfternoonOther (e.g. time, e-mail, etc.)     If other, when/how: When do you plan to purchase? 30-90 Days 90-120 Days120+ Days What is your budget?$0-$5,000 $5,000-$10,000 $10,000-$15,000$15,000-$20,000 $20,000+Needs or Comments, request or needs: