US Chutes - 24 Hour Fax Ordering Service

24 Hour Fax Order Form
866-872-4883


Bill To Name: Address: City: St: Zip: Telephone: Fax: Authorized Contact Person:	Ship To Name: Address: City: St: Zip: Telephone: Fax: Authorized Contact Person:

Bill To Name:

Address:

City:

St:

Zip:

Telephone:

Fax:

Authorized Contact Person:

Ship To Name:

Address:

City:

St:

Zip:

Telephone:

Fax:

Authorized Contact Person:

Method of Payment: US Funds - Check, Money Order, Mastercard and Visa (cards minimum order $100)
Credit Card Type:_________________________ Card Expiration:_____________

Credit Card Account Number:____________________________ Date:____________

Name As It Appears On Card:_____________________ Signature:_____________________

or place your order online, Click HERE!

QTY - Miscellaneous Parts

SP-1 | ON/OFF SPRINKLER HEAD
SP-2 | SPRINKLER HEAD
SU | SANITIZING UNIT

Unit Price

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Unit Price

$125.00
$125.00
$43.00
$48.00
$59.00
$65.00
$18.00
$16.00
$16.00
$59.00
$39.00
$45.00
$281.00
$74.00
$22.00

Unit Price

$48.00
$20.00
$91.00
$11.00
$18.00

Unit Price

$175.00
$18.00
$25.00
$25.00
$369.00

Unit Price

$125.00
$31.00
$169.00

Note: Items appearing on this website are representation of the actual product. U.S. Chutes reserves the right to alter designs without prior notice and to furnish them as so altered without reference to specific data or illustrations contained herein.11/93

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Copyright ©1997 U.S. Chutes
U.S. Chutes, National Headquarters
607 Bantam Road Bantam,
Connecticut 06750-1601
Telephone: (800) 872-4883
Toll Free: 800-US CHUTES (800-872-4883)
Fax: (866) 872-4883
Email: info@uschutes.com