BAUMFOLDER 1660 Campbell Road Sidney, OH 45365 Ph:800/543/6107 or:937/492/1281

BAUMFOLDER EASY-FAX Order Form Fax: 800/452/0947 or 937/497/8301 If you need information or assistance identifying part numbers, please call our Parts Department toll free at 800/543-6107 between the hours of 8 a.m. and 5 p.m. EST

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Customer Information: For Billing Acct #: _________________ Company: __________________________________ Contact: __________________________________ Address: __________________________________ City/State: __________________________________ Zip: ________________ Phone: ______________________

Ship to Information P.O. Nbr: _________________ Company: __________________________________ Contact: __________________________________ Address: __________________________________ City/State: _________________________________ Zip: ________________ Phone: ______________________

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IMPORTANT: If you do not indicate order status, order will be assumed "Normal" Order status: Emergency Order___ Rush Order___ Normal Order___

Qty	Part#	Description	* Model# & Serial#

Shipping Instructions:	___UPS Ground	___UPS 2nd Day Air	___UPS Next Day
	___Federal Express	___Truck	___Other________________________
___OK to ship C.O.D (if necessary)

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Charge Card Information:	___Visa	___Mastercard	Name on card:_______________________
			Exp. date:_______ Phone#_____________
			Card #:____________________________

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* For Machines under Warranty you MUST supply Serial# and Model# above