AC Compacting, LLC 1577 Livingston Ave. PO Box 7266 North Brunswick, NJ 08902-7266 USA (800) 524-0183 (732) 249-6900 Fax (732) 249-6909 Thank you for your interest in our PIV drive products and services. To receive information on how we can service your drive needs, please fill out the form below. You will receive a prompt response to your inquiry.

STEP 1: FILL OUT CONTACT INFORMATION Business Name: Contact Name: Address 1: Address 2: City, State, Zip: Country: Phone: Fax: E-Mail: STEP 2: FILL OUT INFORMATION FROM ID PLATE (Use the sample ID plate below as guidance.) Note: Leave the field blank if you are unsure of the information. Check this box if you believe that you DO have a PIV Werner Reimers Drive Check this box if you believe that you DO NOT have a PIV Werner Reimers Drive Drive Type: (Exactly as it appears on ID plate) Serial Number: (Exactly as it appears on ID plate) Chain Type: (Exactly as it appears on ID plate) STEP 3 -- PLEASE INDICATE WHAT KIND OF SERVICE, PARTS OR OTHER INFORMATION THAT YOU ARE INTERESTED IN REPLACEMENT DRIVE -- Check this box if you would like a quote for an exact replacement drive REPLACEMENT CHAIN -- Check this box if you would like a quote for a new chain OTHER PARTS -- Check this box if you would like a quote for replacement parts for your drive, such as conical wheels, bearings, etc. DRIVE REPAIR -- Check this box if you would like to be contacted about having your drive rebuilt.     STEP 4: PLEASE ENTER YOUR COMMENTS, IF NEEDED TYPICAL PIV WERNER REIMERS (GERMAN DRIVE) IDENTIFICATION PLATE