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Electronic Form - Fill-in & Click SUBMIT below

What baler manufacturer?
What model?
What is the primary crop being baled?
Has the baler ever been modified to change original belt widths?	Yes No
If so, how?
What width are the current belts?
If more than one width, how many of each?
How many plies of fabric in the belts?	2 3 (Do you know our 2 ply belts are stronger than most 3 ply?)
What is the cover pattern on the existing belts?
Have the belts operated to your satisfaction?	Yes No
Do you have a lace preference for your belts?
Do you wish to follow our recommendation for hinge pin material?	Yes No
Contact Information:
Dealer Name
Address
City
State
Zip/Postal Code
Phone
Fax
Email
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Copyright 2010 AG Belt, Inc.
4517 S.E. 14th Street - Des Moines, IA 50320
Phone: 1-800-383-2469 - Fax: 515-287-1490 - Contact Us