Part number, Qty part number description * model# & serial – Baumfolder Rebuilding a 200 – 700 series folder User Manual

Page 19

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BAUM

BAUM

EASY-FAX Order Form

1660

Campbell

Road Fax

#:

1-800-452-0947

Sidney, OH 45365

or - 1-937-497-8301


PH: 1-800-543-6107

If you need information or assistance identifying part numbers please

-or- 1-937-778-9636

call our Parts department toll free at 800-543-6107 between the hours

of

8

a.m.

and

5

p.m.

EST


Customer Information : For Billing

Ship-to Information:

Acct #: ___________________

P.O. Nbr: __________________________

Company: ______________________________________

Company: _______________________________________

Contact: ______________________________________

Contact: _______________________________________

Address: ______________________________________

Address:

_______________________________________

City / St: ______________________________________

City / St: _______________________________________

Zip:

_____________________

Zip:

_____________________

Phone:

_______________________________

Phone: _______________________________


IMPORTANT: If you do not indicate order status, order will be assumed to be “Normal”

ORDER STATUS: Emergency Order ______

Rush Order ______

Normal Order ______

Qty

Part Number

Description

* Model# & Serial #

_____OK to ship C.O.D. if necessary

Shipping Instructions:

(mark only one)

_____UPS Ground _____UPS 2

nd

Day Air _____UPS Next Day _____Federal Express _____Truck ____Other ___________________

(Please specify)


Charge Card Information:

_____VISA

_____Mastercard Name on Card: ______________________________________________


Expiration Date: ____________ Phone #: ________________________


Card

#:

____________________________________________________

* For Machines under Warranty you MUST supply Serial# and Model# above

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