Order Parts

ORDER PARTS

Leyman Lift Gates office hours are from 8:00 a.m. to 6:00 p.m. (Eastern Daylight Savings Time). To place an order through our web site, please complete the following form. Confirmation and pricing will be returned to the sender within one hour of submitting the order. If a credit card is being used, we will contact you by phone to obtain all necessary information. If you submit your order after 5:00 p.m., your order will not be processed and you will not receive confirmation and pricing of the order until the next business day. If you have not received confirmation within our specified period of time via phone, fax or e-mail, please contact our Customer Service Department immediately at 1-866-LEYMAN-1.

» = Required

Billing Information:

Leyman Customer Account #:
» Company Name:
» Address:
» City:
» State/Province:			» Postal/Zip:
» Country:
» Phone:
Fax:
» Ordered by (Contact Name):			Title:
» E-mail Address:
Department:			Industry:
Where did you hear about us?

Ship To:
» Check if shipping address is same as billing address.
or

» Company Name:
Attention:
» Address:
» City:
» State/Province:			» Postal/Zip:
» Country:
» Phone:

» Ship Via:

Additional Shipping Instructions:

Payment Info:

Purchase Order #:
or
Credit Card:	Check if using a credit card. We will contact you for further information.

Lift Gate Information (parts will be used on this gate):

For us to keep track of any parts ordered for specific lift gates, it is important for you, as a customer, to fill in the model and/or serial# of the gate. The information also gives us a better idea if the part number you have provided for us is the correct part to ship to you/your customer.
Model #:
Serial #:

	*Quantity*	*Leyman's Part #*	*Part Description*
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Comments:

Leyman Manufacturing Corporation
10900 Kenwood Road · Cincinnati, OH 45242
513.891.6210 · Fax: 513.891.4901
Toll-Free: 1.866.539.6261
sales@leymanlift.com