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                                                           Date:____________

Dealership Name:__________________________________________

Shipping Address:__________________________________________

Billing Address:____________________________________________

City:______________________ State:_________ Zipcode:__________

 

                                Signature (Parts Mgr.):___________________

 

Planter Scraper Order Form

Use only for the 2009 Pre-Season order program

Quantity

Part #

Description

List Price/Ea.

Total

 

AD21050

JD7000-7100 Series & Kinze Row Kits

$29.95

 

 

AD21051

JD7200, 7300, 1700-30, 1750-80 Row Kits

$21.95

 

 

AD21053

WHITE 6000 Series Row Kits

$23.95

 

 

AD21056

CASE-IHCo 800-900 Series Row Kits

$26.95

 

 

AD21070

JD7200 Planter & newer Inside Scraper w/ bracket

$29.95

 

CNH INSIDE PLANTER SCRAPERS 955 & 1200 SERIES

 

 

 

AD21068

Right-Leading Disc Opener Kit–Right & Left Scrapers

$21.95

 

 

AD21067

Left-Leading Disc Opener Kit- Right & Left Scrapers

$21.95

 

 

Sub- Total

 

 

Text Box: Oct Program = 88%
Nov Program = 89%
Dec Program = 90%

 Dealer Sub- Total x 80%

 

 

X Pre-Season Program %

 

 

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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