Barudan Contact Request Form

Barudan America provides direct sales, service and support for its products sold and used in the United States only. Customers outside of the United States must obtain sales, service and support for their Barudan machine from their local distributor or agent.

For PARTS, call (800) 273-3672 or check out the Parts section of this Web site. Parts books can be downloaded for free or they can be ordered for a fee from our parts department.

For Support, call (440) 498-3660 to reach our Tech Support Help Desk, or submit an online support request.

So we may send you any information and brochures, please fill out the following form. All information entered into this form will be used by Barudan Sales Staff and our approved agents and distributors only.

Name:

Company:

Title:

Address:

Address:

City:

State:

ZIP Code:

Phone:

Phone2:

Fax:

Your E-mail:

When is the best time to contact you?

Please send me information about the following:
	Please select all that apply: Embroidery Machines Embroidery Software Garment Printers Training ESP for new businesses
How would you prefer to receive your information:
	Please Select One: Please send information by EMail I don't need literature, please contact me directly by EMail I don't need literature, please contact me directly by Phone

Do you currently own Embroidery Equipment?

Please Select One: I currently own Barudan
I am an embroiderer - but do not currently own Barudan equipment
Currently own:
I am considering starting an embroidery business
I am considering adding embroidery to my existing business

How did you hear about us?
	Please Select One: Industry Magazine --- Trade Show Reputation/Word of Mouth Search Engine Mailing Other Referral Details:
Do you have any comments or specific questions?

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