Generic SPX Order Form

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					                                                                          1-800-336-6687                                                              Page              of        Pages
                                         Dealer Equipment and Services    Fax 810-578-7205                                        FOR INTERNAL USE ONLY
                                         5775 Enterprise Drive                                                                  SET UP
                                         Warren, MI 48092-3463
                                                                           BILLING TERMS:                                       Customer No.
SOLD TO:                                                                                                                        Area                         Sales Rep
Name                                                      DES Open Account - Net 30 days; Requires DES approval.
Attn:                                                     (Charge of 1 ½% per month added for late payment)                     PL 001 002 003
Street Address                                             2% Prepayment Discount (check enclosed with order)
City                                                      MC / VISA / AMX#                                                      Terms of Payment
State/Province           Zip/Postal                       Expiration:
Tel. No.                                                  Deferred Billing (30/60/90)                 Add 2% Service Charge     Terms of Delivery
Fax No.                                                   (Minimum $5000 transaction)
                                                          Textron Financial ($3000 Minimum order value; requires                Tax Exempt             Y     N      Dlr. Code
SHIP TO:                                                  Textron approval. Billed through finance company.)
Name                                                      Finance        Lease              Term Desired (Months)               Notes:
Attn:                                                     County
Street Address                                             Prices valid until       /        /                                  Date:
City                                                                            M       D        Y

State/Province            Zip/Postal                       Do Not Ship Until Notified by Customer                                     Truck                Cash                  30/60/90
Tel. No.                                                                                                                                                   Rush                  No Ship
Qty.       Part Number                              Description                                      Unit Price     Extended
                                                                                                                         0.00
                                                                                                                         0.00
                                                                                                                         0.00
                                                                                                                         0.00
                                                                                                                         0.00
                                                                                                                         0.00
                                                                                                                         0.00
                                                                                                                         0.00
                                                                                            Sub Total            0.00
                                                                                     Estimated Freight
Authorized Dealer Signature                       Date                          Estimated Installation*
                                                                                              Taxes**                           *Actual charges will be billed when applicable
Authorized Dealer Equipment Signature             Date                                            Total                         **All taxes will be billed when applicable
By signing above, Dealer accepts all terms and conditions of sale, which are contained within the Program catalog.

				
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