Request for Reman Program Registration

Use this form to acknowledge participation in the Epiroc Reman Program, or to request further information about the program.

Note: items with asterisk (*) indicate required data (must be filled in).

Enter name of your company or organization*

This should be the name of the customer (mining company) that intends to participate in the Epiroc Reman Program.

Requestor

If you are entering information below on behalf of someone else in your organization, fill in your first name and last name below. If you are the designated site contact, leave these fields blank and enter your name in the Site Contact fields below.

Requestor first name

Requestor last name

Requestor email

Request date

Designated site contact

Enter information below for the site contact. The site contact should be a person that can officially commit your organization to participate in the Epiroc Reman Program.

Site contact first name*

Site contact last name*

Site contact title or position

Site contact email address*

Site contact phone number

Phone

Country*

Enter mine site or location*

Epiroc Reman Program Objectives

The goal of the Epiroc Reman Program is to deliver superior value to you as the customer.

By clicking on the checkbox below, you agree to the following expectations of this program:

• collaborate with Epiroc to forecast reman components for our fleet;

• purchase Epiroc components based on forecast;

• participate in component life data collection; eg; date component removed, equipment serial number, equipment hours, reason for removal;

• comply with Epiroc Reman Core return policy (available upon request).

If you are only requesting more info about the Epiroc Reman Program at this time, leave unchecked and add questions in Comment box below.

I agree to program as defined above

Comment or question

If you have any documents or files to include, add them here.

Drag and drop files here or

Next steps

An Epiroc representative will contact you to confirm your participation in the program - stay tuned!

Send me a copy of my responses

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