11.0 Order form
Accessories and Replacement Parts For all QC48" fan blade models.
For all motors, pulleys, belts, switches and fan blades call Quietaire at 713.228.9421.
Accessories
Description
Intake Pre-Filter – protects cooling
pads from air-borne particles.
Protective Cooler Cover – protects
cooler during long storage.
Evapo-O-Matic Tablets – Chemical
water treatment tablets.
Evapo-O-Matic Tablets – Chemical
water treatment tablets.
Evapo-O-Matic Tablets – Chemical
water treatment tablets.
Evapo-O-Matic Tablets – Chemical
water treatment tablets.
Water Stabilizer – Removes harmful
calcium, scale build-up and algae.
Portable Water Reservoir – For use in
field where there is no access to water.
Rough Terrain Wheels – 10" Semi-
Pneumatic wheels. Sold as set
Replacement Parts
Description
Water Pump Replacement – Pumps
water up to cooling pads.
Float Valve Replacement –
Automatically adjusts water level.
Inline filter – Catches large debris in
water line to cooling pads.
Replacement Caster (Straight
Wheel) – Sold in set of 2.
Replacement Caster (Swivel Wheel)
– Sold in set of 2.
Cooling Pad Replacement –
Replacement set of 5 pads.
Credit Card Type: ___________ Credit Card Number: __________________________________________
Expiration Date: ____________ Name On Card:_______________________________________________
Add up totals for needed accessories and replacement parts and Fax to: 713.228.9425
Texas residents add .0825 State Sales Tax. Shipping Charges: Fax your Zip Code and Shipping Address.
Name: __________________________________________________________________________________________________________________
Company Name: __________________________________________________________________________________________________________
Telephone Number: ________________________________________ Fax Number: ____________________________________________________
Billing Address: ___________________________________________________________________________________________________________
Shipping Address: _________________________________________________________________________________________________________
City: ____________________________________________________ State: ____________________ Zip: ________________________________
Fax Back Order Form
Part Number
QC48PM
QC48CC
QCTAB1 – Single
Tablet
QCTAB2 – 2 Tablets
QCTAB12 – Jar of 12
Tablets
Case of QCTAB12 12
Jars - 12 Tablets
QCG1001 – Water
Stabilizer
QRT60 – Water
Reservoir
2-QC10x3RC
2-QC10x3SC
Part Number
QCPUMP
TR798
12Filter
QC4X1RC - 2 Wheels
QC4X1SC - 2 Wheels
6 -CD60612 – Set of 6
cooling pads
Quantity
Amount
List $ 48.00 each
List $ 160.00 each
List $ 16.00 each
(16.00 per tablet)
List $ 25.00
(12.50 per tablet)
List $ 99.00
(8.25 per tablet)
List $ 998.00
(6.93 per tablet)
List $ 290.00 each
List $ 605.00 each
List $ 694.00 set
Quantity
Amount
List $ 168.00 each
List $ 16.00 each
List $ 23.00 each
List $ 22.00 set
List $ 24.00 set
List $ 387.00 set
Sub Total
Texas Sales Tax
Total
Price
Price
$
$
$
12