Main form Section A Contact informations Your name * Company * Address * City * State * Phone * Fax Email * Section B Motor informations Order Number Delivery Note Motor Type Serial Number Quantity Motor location Smart Service Claim Section C Claim informations Mechanical problem option 1 option 2 Electrical Problem option 1 option 2 Brake problem option 1 option 2 Painting option 1 option 2 Transport damage option 1 option 2 Shipment option 1 option 2 Motor Not Conform To Order option 1 option 2 Generic option 1 option 2 Section D Application information Application Type option 1 option 2 Coupling Type option 1 option 2 Feed Type option 1 option 2 Load Features option 1 option 2 Service Type option 1 option 2 Generic option 1 option 2 Section E Other information Notes Operation * Select the type of your request Start-Up request Mounting help request Training request Motor Maintenance request Technical study request Other Operation