On-Line Order Request
Replacement & Spare Parts Form

This order / quote form will be sent to our parts department for processing. This is not designed to be used for machine orders. Once received our analysts will review your order and you will be contacted for final approval.
Fields necessary to complete the order are marked as required

REQUIRED -- Is this an Order or Quote Request ?
Order Quote

Billing Information -Please be as complete as possible
Company Name: Required
Address 1: Required
Address 2:
Address 3:
City: Required
State: Required for U.S.
Country: Required
Zip Code: Required for U.S.
Phone: Required
Account Nbr*:
*If you are already a Baum customer this is helpful and will speed up the order

Fax Nbr:
e-mail :
P.O. Nbr or Your Name: Required
Contact Name: Required
This is the person who will be contacted for final approval of the order

Shipping Information -Please fill out only if different from billing information entered above:
Ship to Company:
Address 1:
Address 2:
Address 3:
City:
State:
Country:
Zip Code:

IMPORTANT: The default order status is NORMAL
If this is RUSH or EMERGENCY please indicate below.
Required
Rush Normal
Emergency

Providing the Machine Serial number will help assure that the part you order is correct.
At lease one line of quantity / part information is required.

Ln# QtyPart NumberDescriptionSerial #
Required Line 1:
Line 2:
Line 3:
Line 4:
Line 5:
Line 6:
Line 7:
Line 8:
Line 9:

Method for shipping: Please choose one of the following...Required
UPS Ground UPS 2nd Day AirUPS Next Day
Federal Express TruckOther (Please indicate below)

Required for shipping method of other

The section below is for any comments or suggestions you care to make.
C O M M E N T S:

Now just choose to send or, if you want, clear and start over.

Copyright © 1998 - 2000 Baumfolder Corporation,....All rights reserved
Last Updated May 2, 2000