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AQUATIC INDUSTRIES, INC. 11
SHIP TO: BILL TO:
Name Name
Company Company
Address Address
City State Zip City State Zip
Phone Fax Phone Fax
Serial # (Invoice #) Model Name
Model # Color Purchase Date
Quantity Part No. Description Color/Finish Price
REPLACEMENT PARTS ORDER FORM
FOR DELICAIR LAUNDRY BASIN
How To Use:
1. Find your part on the map and make note of its number and letter.
2. Using map number, choose part number and select color or finish (if applicable) on parts list
provided on page 12.
3. Fill out the form below with the selected information. Fax or send to Aquatic.
4. Call Aquatic for parts pricing and shipping charges.
IMPORTANT!
The following information MUST
accompany your order:
Serial Number, Model Number/Name, Purchase Date and Color (White or Biscuit)
PLEASE FILL OUT COMPLETELY:
Mail orders to:
AQUATIC INDUSTRIES, INC.
P.O. Box 889 • Leander, TX 78646-0889
Phone (800) 555-5324 • Fax (800) 421-3633