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unless specifically authorized by the client.

*Name:
Title:
Company:
Address (street):
City:
State or Province:
Zip Code:
*Telephone:
  
 Fax:
*E-mail:
Manufacture:
Type:
Size: "W    "L     "H
Max. Temp., •F.
Last used?:
Was it working when shut down?: Yes       No
Can you load it on our truck?: Yes       No
On a scale of
1 - 10, with 10 = "Like New," what is its condition?:
Asking Price:
Can you provide photos if requested?: Yes       No
Please add any other comments or information below:

                                 

440.256.0200 • 800.755.9872
Fax: 440.256.0400 • E-mail