DMG North Inc Manufacturers’ Representative for Custom Engineered

Joy Axivane Fan Parts & Service Inquiry Form

Please fill in the fields below so that we can process your inquiry. (*Required fields) For more information, contact Joe Abriol @ 510-346-7755.

*Company Name:		Manufacturer
*Street Address:
*City:
*State:
*Zip code:		*Fan serial#
*Phone number:		*Model#
*Fax number:		*Motor horsepower/RPM
		Controllable or Adjustable pitch:
*Contact:
Title:
*Contact Phone:
*E-mail:

PARTS OR SERVICE DESCRIPTION REQUESTED:

REMARKS/ COMMENTS: