welcome to www.albahar.com

An inquiry form which can be used for all types of inquiries & feedback about Value Plus Program..

(Fields marked with * must be filled)

Contact Information

First Name*:

Middle Name:

Last Name*:

Company*:

Address Line1*:

Address Line2:

City*:

Country* :

Office Phone*:

Fax:

Mobile*:

Office Email*:

(Please note we are unable to respond on generic e-mail addresses e.g. Hotmail, Yahoo etc.)

Subject*:

Comments:

Additional Information:

Please tell us about your role in your company*
(Please tick all applicable)

Owner of the Company
Part of Purchasing Team
Involved in Technical Evaluation
Part of Maintenance Team
Other (please specify below)
Other:

Does your company rent equipment ?

Yes
No, but we may rent in the future
No, we do not consider the rental option

Does your company purchase used equipment ?

Yes
No, but we may buy used equipment in the future
No, we do not consider used equipment

Who looks after your equipment*: (please tick all that apply)

Would you like us to contact you?

Yes, as soon as possible
Yes, within the next 14 days
Yes, within the next 30 day