Fax Parts Order Form - U-Line 95 Icemaker Service And Parts Manual

Account# ______________________________________
Bill to: ________________________________________
______________________________________________
______________________________________________
Date: __________________________________________
Phone#________________________________________
PART# COLOR
SPECIAL INSTRUCTIONS:
All part shipments will be sent ground delivery.
We have air shipment available at an additional cost to you.
Next Day Air 2nd Day Air
If you do not have an open account with us your order will be shipped C.O.D.
COMMENTS: ____________________________________________________________________________________
________________________________________________________________________________________________

FAX PARTS ORDER FORM

FAX # 414-354-7905
QTY DESCRIPTION
3 Day Select
Authorized By ________________________________________________
Ship to: ______________________________________
______________________________________________
______________________________________________
Attention:
P .O. __________________________________________
Fax#__________________________________________
MODEL SERIAL UNIT IN
NUMBER WARRANTY?