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We need either the manufacturer name or code but not both, stock number and qty. at a minimum. You may e-mail the form to raytet#sw.rr.com please change # to @. or send it by US mail (snail mail)

phones

 

The Engine Tender

Ticket #

   

940-733-7857

 

3808-B Kemp Blvd

     

877-987-2460

toll free

Box 113

     

www.enginetender.com/

 

Wichita Falls, TX 76308

     
           

cust No

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Total

 

name

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sales tax

 

address

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handling

city, state,zip

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shipping

10.00

phone #

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sub total

 

Manufacturer

Mfg Num

part #

qty

price

amt

           
           
           
           
           
           
           
           
           
           
           
           
           
           

Use of this form is NOT required, mfg name and stock number and quantity is needed

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Last update 06/13/07