NEW VEND PRICE

____________________________________________________________

 

Order required parts using this tear-off. Block-out keys will be

Order Form

shipped to you at no charge. Follow product information

instructions.

To change vend price, detach and mail the lower portion to:

 

Customer Service Department

Quantity____________________________________________________

Greenwald Industries Inc.

 

212 Middlesex Ave.

Existing Vend Price_________________________________________

Chester, CT 06412

Name_____________________________________________________

____________________________________________________

 

The coin chute has been pre-set at the factory.

Company_________________________________________________

Address__________________________________________________

 

When increasing in $.25 pricing

City_______________________________________________________

Follow product information instructions; no extra parts required.

State/Zip__________________________________________________

 

When decreasing in $.25 pricing - or - changing to

Daytime phone_____________________________________________

$.10 pricing.

 

(Coin sizing block required; see "Changing Vend Price"

Purchase date_____________________________________________

section.)

 

Notes

______________________________________________________________

______________________________________________________________

______________________________________________________________

______________________________________________________________

______________________________________________________________

______________________________________________________________

____________________________________________________________________________________________________________________________

______________________________________________________________

_______________________________________________________________

_______________________________________________________________

_______________________________________________________________

__________________________________________________________________

__________________________________________________________________

________________________________________________________________

_________________________________________________________________

Questions about your product? Contact us at

www.GEAppliances.com

15