Pully Bully - MEI - Total Elevator Solutions

Pully Bully - MEI - Total Elevator Solutions

Pully Bully
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PULLY BULLY ORDER FORM
ORDER
INFORMATION
Order Date
Quantity
Part No.
Description
17936 Submersible Power Unit Motor Puller
PPU
Total
$ 1,599.00
BILLING
INFORMATION
Customer:
Ordered By:
Billing Address:
PO #
Phone:
Cell:
Fax:
E-mail:
CREDIT CARD
INFORMATION
(if purchasing by credit card)
Credit Card Type
Credit Card Information
Corporate Card
Personal Card
Master Card
Visa
American Express
Credit Card Number
CVV2-Code
SHIPPING
INFORMATION: Estimated ship weight: 185 lbs
Preferred Carrier
Shipping Method
Freight Billing
Next Day Air - Early AM
Next Day Air
2nd Day Air
Pre-Paid & Add
Collect
3rd Party
3rd Day Select
Shipping Address
(if different from above)
This order form may be mailed, faxed, or e-mailed to:
MEI - 19336 607th Avenue - Mankato, MN 56001
Ph: 507-245-3060 - Fax: 507-245-4198 - E-mail: [email protected]
3-5 Day Ground