Equipment Request Form | Alliance Laundry Systems

Organization Name(Required)

Address(Required)

City(Required)

State(Required)

Email(Required)

Phone Number(Required)

Website(Required)

Are you a 501c3?(Required)

Name of requestor(Required)

Are you an Alliance Laundry Systems employee?(Required)

Do you need multiple machines?(Required)

Please specify the quantity of machines that you need.

If you are requesting a dryer, what is your requested heat source?(Required)

Please describe how your organization uses, or will use, laundry equipment. Include the number of loads your organization does per day or week, the type of items you wash and/or dry, the soil level of the items, and who is using the machines.(Required)

Please describe the area where you will use the machines. Are there space limitations? Does the space have adequate utilities for proper installation of the machines?(Required)

Do you have a maintenance person on site who can perform the installation of the equipment, or do you need assistance?(Required)

Are you able to pick up the machine(s) or do you need them delivered?(Required)

When would you like to install the machine(s)?(Required)

Email

This field is for validation purposes and should be left unchanged.

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Equipment Request

Equipment Evaluation Form