FAX PARTS ORDER FORMFAX # 414-354-7905Account# ______________________________________ Ship to: ______________________________________Bill to: ________________________________________ ____________________________________________________________________________________________ ____________________________________________________________________________________________ Attention:Date: __________________________________________ P.O. __________________________________________Phone#________________________________________ Fax#__________________________________________PART# COLOR QTY DESCRIPTION MODEL SERIAL UNIT INNUMBER WARRANTY?SPECIAL INSTRUCTIONS:All part shipments will be sent ground delivery.We have air shipment available at an additional cost to you.Next Day Air 2nd Day Air 3 Day SelectIf you do not have an open account with us your order will be shipped C.O.D.COMMENTS: ____________________________________________________________________________________________________________________________________________________________________________________Authorized By ________________________________________________