Element Repacement Quote Form

To receive a quote for element replacements, either fill out and submit this form, or download the quote form in PDF format. Bel Thermal Quote Form PDF. Please fax or email the PDF Form back to us. Fax: (954) 563-7941 or Email: btu@belthermal.com

Name

WE WILL NEED THE FOLLOWNIG INFORMATION IN ORDER TO PROVIDE YOU WITH A QUOTE.

FOR BTU HEATERS ONLY, ANSWER THE QUESTIONS IN PART #1. WE WILL DO THE REST.

FOR ALL OTHER BRANDS OF HEATERS, FILL OUT PART #2.

Part #1 BTU HEATERS ONLY

Part #2 ALL OTHER HEATERS

*Our largest OD is 7/16”. We do not have 1” or larger for point suspension type heaters

Name Plate Data

*ALL ELEMENTS ARE CUT AND MADE TO ORDER; THEY ARE NOT RETURNABLE.

PLEASE CAREFULLY REVIEW THE INFORMATION YOU HAVE PROVIDED FOR ACCURACY.

PRICES ARE NET, EACH, F.O.B FORT LAUDERDALE, FL.

MINIMUM BILLING PER ORDER IS $25.00 NET (FREIGHT EXCLUDED)