Crane EE-865 Order Form, For Replacement Crane Adorable Humidifier Water Tank, Quantity of Parts

Models: EE-865 EE-5058

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ORDER FORM

ORDER FORM

FOR REPLACEMENT CRANE ADORABLE HUMIDIFIER WATER TANK

Price per Water Tank (includes shipping and handling $18.00)

Please send a MONEY ORDER only (no cash or personal checks), Please use Street address only (we cannot ship to PO Boxes) payable to Wachsmuth & Krogmann Inc. to the following address:

Crane Inc,

1800 Nicholas Blvd.

Elk Grove Village, IL 60007

Kindly fill in your information below and send together with your

Money Order. To avoid delay please print clearly.

Name

Street

City

State

ZIP

Phone #

Date

Model #/Style

 

Quantity of Parts

 

 

Water Tank @

 

 

$

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Total amount

 

 

 

 

 

$

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

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Crane EE-865 manual Order Form, For Replacement Crane Adorable Humidifier Water Tank, State ZIP Phone # Date Model #/Style