Vollrath U421 Water Cooled User Manual
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GENERAL ORDER ADVICE
Customer No.: ________________ Customer P.O. No.: ________________ Stoelting Order No.: ______________
Sold To: _____________________________________
Date: __________________________________________
____________________________________________
Ship To: ________________________________________
____________________________________________
_______________________________________________
____________________________________________
_______________________________________________
Contact Name: _______________________________
_______________________________________________
Phone: ______________________________________
_______________________________________________
Fax #: ______________________________________
Terms of Payment: _______________________________
Requested Routing: ______________________________
Freight: Collect __________ Prepaid __________ Prepay & Add __________ Account # ________________
Third Party Billing
_____________________________________
_____________________________________
_____________________________________
FAX or CALL your local distributor.
_____________________________________
Order Comments: Always use original factory replacement parts to assure optimum machine performance. Simply
use this form to order from your distributor. Call 920-894-2293 for Commercial Products to direct you to your local
distributor.
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