Crane EE-5058 - Manual (Page 17)

ORDER FORM
FOR REPLACEMENT CRANE ADORABLE HUMIDIFIER WATER TANK
Price per Water Tank (includes shipping and handling $18.00)
Please send a MONEY ORDER only (no cash or personal checks),
Please use Street address only (we cannot ship to PO Boxes)
payable to Wachsmuth & Krogmann Inc. to the following address:
Crane Inc,
1800 Nicholas Blvd.
Elk Grove Village, IL 60007
Kindly fill in your information below and send together with your
Money Order. To avoid delay please print clearly.
Name
Street
City
State
ZIP
Phone #
Date
Model #/Style
Quantity of Parts Water Tank @ $
Total amount $
16