ONLINE PARTS ORDER FORM
 

Please fill in the contact information and tell us about your parts order request. Note that all fields markd with an asterisk (*) are required and must be included in order for us to respond to your request. If you have questions with this form, please call us at (909) 374.4562.

DO NOT use this form for credit card purchases -- To make purchases with Master Card Visa or American Express use our FAX Order Form
 

YOUR PARTS ORDER REQUEST:
Please provide as much of the following information as possible so that we may address your needs promptly. Thank you.
     
1 Machine serial # (on side of main panel - starts with the letters PL):
2 Station on the machine: (Cup dispenser, Filler, Sealing Station, Lids Dispenser, Main Panel, Conveyor):
3 Part manufacturer item # if possible:
4 In case of Heating element (the length, width and diameter):
5 In case of Thermocouple (Ring or finger type):
6 In case of Suction Cup (color and diameter):
7 In case of Pneumatic part (Manufacturer i.e. Festo, SMC, and manufacturer description as mentioned on the part):
8 Other (not mentioned on above list:
     
9 Do you have a picture of the part? Yes No
  Please send your picture to parts@packlinewest.com . Images must be in GIF or JPG format, no larger than 1MB, or they may not send properly!. Or fax thm to: 707-221-2465.
   
  FILL IN YOUR DETAILS
Your Name * Title
Company *

Address

City

State / Province
Zip Code Telephone:

Country:

E-mail: *
  Fax Purchase Order # for this order: