AMI Exchangers Ltd - Order Form

Order Form Fields marked * are required. Although not all items are required, please complete as much information as possible to ensure speedy response and delivery.

Contact Details
Company Name
*Contact Name
Position
Department
*Telephone
E-mail
Fax
Address 1
Address 2
Town
Country
Zip/post code

Requirement Details
Vessel Name
Engine Make & Model
Number of cylinders
Engine License Builder
Original Heat Exchanger Manufacturer
Original Heat Exchanger Part Number
Do you require a Brochure?
AMI Reference Number
Your order number
Preferred Delivery (ex-works)
We will make every attempt to meet your preferred delivery
Latest Delivery (ex-works)
If different material options given, which option do you require?
Do you require end covers?
Do you require an installation gasket set?
If other than works classification, please state
Is a sample unit available for inspection?
Are you sending a sample to our workshops?
Would you like our sales personnel to contact you regarding this order?
Do you require transport costs?
If so please use the area below to give shipping instructions

Any additional information?

AMI Exchangers Ltd, Apex Workshops,
Graythorp Industrial Estate, Hartlepool, UK TS25 2DF
Tel: +(44)1429 860187 Fax: +(44)1429 860673
E-mail: sales@ami-exchangers.co.uk