GB Industrial Battery

Battery Price Request - A written proposal will be emailed shortly. Boxes marked with an asterisk (*) require an answer.

Name of person to contact: *
Company Name:
City and State / Province: *
E-Mail Address: *
Phone number:
Quantity needed:
Battery voltage: *
Battery dimensions: *
Forklift make / model:
Do you require installation (optional, $75 per hour)?	Yes No
If yes, would we be required to bring another forklift for battery removal / installation?	Yes No
Will you have a scrap battery for pick up?	Yes No
Would this purchase be taxable?	Yes No
Additional information, questions or comments:


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