East Coast Induction, Inc.

Fabtech 2010

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Surplus Equipment Information Form

Required information is in red.
Equipment Information

Equipment Manufacturer:		Equipment Model #:
Equipment Serial #:		Year of Manufacture:
Output Power:		Output Frequency:
Input Voltage:		Input Frequency:
Oscillator Tube Type:		Power Control Type:

Is the equipment complete?	Yes	No
Photographs available?	Yes	No

Please list any missing or failed parts
What was the equipment used for?
Why was it taken out of service?
Was the equipment functional when removed from service?
Comments
Please list any accessory equipment or spare parts included with this equipment

Seller's Information

Name First:		Name Last:
Title:		Company:
Address:		City:

State: Postal Code: Country:

Telephone:	-
Fax:	-
Email:
How Would You Like Us To Contact You? Call Fax Email

Equipment Location
(Please supply any information which differs from the above)

Address: City:

State: Postal Code: Country:
Loading facilities and capabilities:
*Enter Security Code: 8
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Click here when your information input has been completed.

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