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HOWELL
TRACTOR & EQUIPMENT CO.
Parts
Order Form
Print
the form and fax it to:
Elk
Grove Village, IL Gary, IN Peru, IL
(847) 427-2162
(219) 977-4220
(815) 224-2538
Attn:____________________________________________ Date:__________________
Customer Name:_________________________________ Phone:___________________
P.O.#:________________ Job#:__________________ Fax:_____________________
____ Price ____ Availability Ship To:___________________________________
Special Instructions: ___________________________________________________
__________________________________________________________________________
Ship Via:_________________________________________________________________
____ Pickup ____ UPS ____ NDA ____ Other_______________________________
Model S/N:________________________________________________________________
Engine S/N:______________________________ Arr #:_________________________
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| | QTY | PART# | DESCRIPTION | PRICE / NOTES |
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| Signature:_______________________ |
|_________________________________________________________________________|
| Howell Tractor Use Only |
| Reference #________________ Backorders: ____Yes ____No * Backorders |
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