11A-2
PMMRS
PREVENTIVE MAINTENANCE MANAGEMENT RECORD SYSTEM
ORDER BLANK
NAME_____________________________________
ADDRESS _________________________________
CITY ______________________________________
STATE _____________________ ZIP ___________
DISTRIBUTOR
P.O. NO. ________________________
CHECK NO.______________________
PMMRS
PREVENTIVE MAINTENANCE MANAGEMENT RECORD SYSTEM
ORDER BLANK
NAME_____________________________________
ADDRESS _________________________________
CITY ______________________________________
STATE _____________________ ZIP ___________
DISTRIBUTOR
P.O. NO. ________________________
CHECK NO.______________________
CUSTOMER CHECK
MUST ACCOMPANY ORDER
PMMRS KIT @ $6.00 per kit QTY. KITS ORDERED __________
Kit consists of: 10 ea. 8476-TS Maintenance Summary Sheets
20 ea. 8477-TS Service Order Sheets
5 ea. 8478-TS Folders (check color desired)
____Orange Turf Tractors
____Gray Reel Mowers
____Lt. Blue Aerators
____Red Rotarys
____Dk. Blue Seeders
____Yellow Sweepers and Blowers
____White Grooming Equipment
____Copper Trucks
____Green Greens Equipment
PMMRS KIT @ $6.00 per kit QTY. KITS ORDERED __________
Kit consists of: 10 ea. 8476-TS Maintenance Summary Sheets
20 ea. 8477-TS Service Order Sheets
5 ea. 8478-TS Folders (check color desired)
____Orange Turf Tractors
____Gray Reel Mowers
____Lt. Blue Aerators
____Red Rotarys
____Dk. Blue Seeders
____Yellow Sweepers and Blowers
____White Grooming Equipment
____Copper Trucks
____Green Greens Equipment
TO ORDER SEPARATELY QTY. PRICE
5 Folders $2.50
(state colors) _______ _________
_______ _______
_______ _______
_______ _______
10 Maintenance Summary Sheets @ $1.50 _______ _________
25 Service Order Sheets @ $2.00 _______ _________
TO ORDER SEPARATELY QTY. PRICE
5 Folders $2.50
(state colors) _______ _________
_______ _______
_______ _______
_______ _______
10 Maintenance Summary Sheets @ $1.50 _______ _________
25 Service Order Sheets @ $2.00 _______ _________
________________________________________
Authorized Signature
Jacobsen Division of Textron, Inc.
1721 Packard Avenue
Racine, Wisconsin 53403-9988
Price subject to change, contact your Jacobsen Dealer.
________________________________________
Authorized Signature
Jacobsen Division of Textron, Inc.
1721 Packard Avenue
Racine, Wisconsin 53403-9988
Price subject to change, contact your Jacobsen Dealer.
CUSTOMER CHECK
MUST ACCOMPANY ORDER
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