Copyright © 1999 Terramite Corporation
CUSTOMER FAX ORDER FORM
THE TERRAMITE CORPORATION
600 Goff Mountain Road
P.O. Box 7146
Charleston, WV 25356-7146 U.S.A.
Fax: 1-800-776-4845
International Fax: (304) 776-4845
SOLD TO: SHIPPED TO:
Contact: Contact:
Phone: Phone:
Fax: Fax:
DATE: YOUR ORDER NO.: FOB: CHARLESTON, WV, U.S.A. TRACTOR INFORMATION:
a SHIPPED VIA _________________________ MODEL # ________________________
UPS NEXT DAY SERIAL # ________________________
2ND DAY
FEDEX NEXT DAY
2ND DAY
MOTOR FREIGHT
THANK YOU!
WE APPRECIATE YOUR BUSINESS!
NOTE: This order form is for ease of use when ordering parts identified in this manual. Simply
photocopy this page (keep this page for future use) and fill in the parts needed. Fax to
Terramite at the number above. We will promptly respond to your request.
QUANITY
ORDERED PART NUMBER DESCRIPTION
12/97
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