Fluid Metering Systems - CH Reed Inc.

GRACO SEALANT AND ADHESIVE EQUIPMENT FLUID METERING SYSTEMS
PrecisionFlo XL
Sealant & Adhesive Dispensing Systems
Configured Product Order Form
Fax completed form and Purchase Order to Graco Customer Service:
Fax: (800) 334-6955 North America, (612) 623-6884 International
Date: ________________________________________
Account Number: ________________________________
PO Number: ____________________________________
Ship To:
Bill To:
Attn:
Attn:
ORDER INFORMATION—Not intended for quoting purposes. Purchase Order must accompany order. No verbal orders accepted.
Configured Product:
PFLOXL–F–
Code: A – B – C – D – E – F – G – H – J – K – L – M – N – P – R – S – T – V – W – X – Y – Z
Order Quantity: ________________
Unit List Price: ________________
Total US List Price:______________
Name: ________________________________________
Account Number: ______________ Date: ________________________________________
P.O. Number: __________________ Signature: ____________________________________
Note: Orders Cancelled prior to shipment are subject to a 25% restocking fee.
Configured products are not returnable.
Standard Delivery (accepted order to ship date) 4-6 weeks.
For Graco Use
S/R# ______________________
System # ____________________
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