top band

 
E.L. Harley, Inc.
Parts Ordering Request Form

Now you can order direct from E.L. Harley, 24-hours a day, 365 days a year.

If you don't know which mounting tape is best or which machine is right for your application, give us some of the specifics and we can aid you in selecting the right products based on your input.  To ensure you get the correct product, briefly describe to us what your application entails.  For a full product line description, you can visit our on-line shopping cart for more information- Click here.

How To Submit a Product Request

  1. Complete "General Information" section below.

  2. Describe what your application is and ask any specific questions.

  3. Choose the products you are interested in ordering

  4. When completed, click the SUBMIT button at the bottom of the form.

General Information Form

Please fill out the form below.



Send us your request on the form below & we'll get back to you as soon as possible.

Please fill out the form completely. It is necessary to fill out your
e-mail address in order to get a response.

*required fields


Name*:  (required)

Company*:  (required)
 

Address*:

City*:
State*:
Zip*:

Phone*:
Fax:

E-mail Address*:

Questions/Comments:

 
Tapes and Parts (check all that apply) Cushion Tape - Type A  Cushion Tape - Type P

Opti-Chek Parts  Opti-Chek Accessories
 

  
Once you submit this form, we will contact you and discuss your order
request.  A member of our sales and support staff will aid you in the
details regarding ordering, shipment, and payment options.

Thank you for ordering direct!
 
 

We can be reached during our hours of operation
Phone: (561) 841-9887
FAX:     (561) 841-9882
E-Mail: info@elharleyinc.com
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  E. L. Harley, Inc.  •  3715 Fiscal Court  •  Riviera Beach, FL 33404                                                                                          Copyright E. L. Harley 2004. All rights reserved
                            | email us |                                                                                                             Created by The Palmer Agency & Wingman Ent.