Parts Order Form - Glastender GT-18 Parts List

Date: _____________________________
Company: _____________________________
Contact: _____________________________
Customer #: _____________________________
Phone #: _____________________________
Fax #: _____________________________
Bill to:
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Part number
Quantity
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Parts Order Form

Ship to:
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Glastender, Inc. • 5400 North Michigan Road • Saginaw, MI • 48604-9780
800.748.0423 • 989.752.4275 • Fax 989.752.4444 • www.glastender.com
Ship Via
Ground _______
NDA _______
2 Day _______
Other _______
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Description
Regarding: _____________
Model #: _____________
Serial #: _____________
If glasswasher:
Voltage: ___ 208 ___ 240
Rotation: __ CW ___ CCW
Special instructions:
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Price
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