Request a Quote

You may also fill out and email the form to: Sales Department or mail to 2625 Emerald Drive, Kalamazoo, MI 49001

Request a Quote / Application Data Sheet

Company *

Job Title

Name *

Location Title

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Address Line 2

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Country *

Phone Number *

Email Address *

Industry Industry

How Did You Hear About Us How Did You Hear About Us

If Other, Please Explain

Customer Type *

Is this a replacement for a Glen Dimplex Thermal Solutions provided chiller?

Yes

If this unit is to replace another unit that was purchased from Dimplex Thermal Solutions please select Yes, otherwise select no.

Chiller Make

Koolant Koolers/Schrieber

Riedel

Model #

Serial #

MLFB #

Is this a Manufacturer's Representative Inquiry?

Yes

Agency

Sales Engineer

Phone

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