U-Line CLRCO2075 Service And Parts Manual Supplement page 47

Echelon series

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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?

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