Delfin DM3 ENTRY-LEVEL - Page 39

36
FAX
DATE _____________
Delfin srl
Strada della Merla, 49/a Page………of……….
10036 Settimo Torinese (TO) – Italy
Tel. 0039.011.8005500 IMPORTANT: Type or complete in
block capitals
Fax 0039.011.8005506
Spare parts order form
SENT BY TEL
ADDRESS
LOCALITY PROV.
NATIONALITY TEL.
MODEL PART NO. TAB. PART CODE
DESCRIPTION Qty
MODEL PART NO. TAB. PART CODE
DESCRIPTION Qty
MODEL PART NO. TAB. PART CODE
DESCRIPTION Qty
MODEL PART NO. TAB. PART CODE
DESCRIPTION Qty
MODEL PART NO. TAB. PART CODE
DESCRIPTION Qty
MODEL PART NO. TAB. PART CODE
DESCRIPTION Qty
MODEL PART NO. TAB. PART CODE
DESCRIPTION Qty
MODEL PART NO. TAB. PART CODE
DESCRIPTION Qty
MODEL PART NO. TAB. PART CODE
DESCRIPTION Qty
MODEL PART NO. TAB. PART CODE
DESCRIPTION Qty
DESTINATIO
N OF SPARES