Talbotts T75 - Page 5

5
Order Form for Replacement parts
Please send completed form (by email preferably) to:
Talbott’s Biomass Energy Systems Ltd Tel: 01785 813 772
Unit 13, Walton Industrial Estate
Beacon Road
Stone Email: stores@Talbott’s.co.uk
Staffordshire
ST15 0NN
Company Name
Contact Person
Address
Telephone No.
Fax No.
E-mail
Appliance
Model
Serial No.
P/O Number
Quantity
Part Name/Description
Price Per
Appliance if
quoted
Amount £
Total
Print Name ………………………………
Signature ……………………………… Date ………………………………