Date:____________

Dealership Name:__________________________________________

Shipping Address:__________________________________________

Billing Address:____________________________________________

City:______________________ State:_________ Zip code:__________

 

                                Signature (Parts Mgr.):___________________

 

Drill Scraper Order From

Use only for 2009 Pre-Season order program

 

Quantity

Part#

Description

List Price/ea

Total

 

AD7000

Case-IHCo 620,6200 drills & air drills

$13.95

 

 

AD8000

John Deere T-Bolt Scraper for 8300, 9350,455,1060 & 730

$13.95

 

 

AD21060R,L

JD1890 No-Till Seeder- Depth wheel side

$36.95

 

 

AD21080R,L

CNH SDX single disk No-Till Scraper

$36.95

 

 

Sub-Total

 

 

Text Box: Oct Program = 95%
Nov Program = 96%
Dec Program = 97%

Dealer Sub-Total X 80%

 

 

X Pre-season Program %

 

 

Sub- Total

 

 

Postage & Handling

FREE

 

Total

 

           

 

Shipping Date 1 ______________                       Shipping Date 2 ________________

 

Note: Any order of less than 100 scrapers has a 20% discount, plus shipping & handling. Orders of 100 scrapers or more use the pre-season discount schedule.

 

Lock in your savings today!

design@nemont.net

1-800-433-9655

Fax: 1-406-487-5460

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