Order Form - Sargent Locks

THIS FORM IS THE PURCHASE ORDER.DO NOT SEND A COVER P.O.DUPLICATED ORDERS CANNOT BERETURNEDORDER FAX (800) 906-6606Order Form - ElectroTURBOElectrified 8500 RimExit Devices with TrimCUSTOMER ORDER NO.DATECUSTOMERADDRESSCITY STATE ZIP1 Week – ElectroTURBOStandard Buying ProgramOrders Ship within 5 Working DaysBUYERSHIP GOODS TOADDRESSATTN TO:TITLE3 Week - Contract ExpressStandard Buying Program %OR QUOTE #Orders Ship within 15 Working DaysRequested Shipping Method:CITY STATE ZIPORDER ID:SHIP VIA: STD. SARGENT CARRIER (OTHER)FOR EDITING, DO NOT WRITEORD NO.Next Day Air:Add 10% of the value of the order2nd Day Air:Add 5% of the value of the orderGroundAvailability: Electrified 8500 Narrow Stile Rim ExitPrefix Function Rail Size Trim Finish Hand1 WeekElectroTURBO &3 Week ContractAL, KD, SC, 16,43, 55, 56, 60, 70, LC8504, 8510,8513, *8573, *8574 F, G, JETB, ETJ,ETL, ETP03, 10, 10B, 32D LHR, RHRNote: 8500 Exit Devices are not available on 24-Hour Express* Specify 12V or 24V, when ordering solenoid operated ET TrimNote: LA is the standard SARGENT Keyway and all cylinders will be 1-bitted unless KD is specified.Ordering Form: Electrified 8500 Series Rim Exit DeviceQty Prefixes Exit Device x Function Rail Size Trim Finish HandNote: Cylinder Options are available with AL- & 16- Prefix, 04 & 13 Function Devices onlyVoltage12V or 24VEL2005/01/09 90661:C Copyright © 2007-2009, Sargent Manufacturing Company, an ASSA ABLOY Group company. All rights reserved.Reproduction in whole or in part without the express written permission of SARGENT Manufacturing is prohibited.