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POWR LADDER ORDER FORM
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To Order:
Call 1-800-369-3461
Or print form, fill in order and FAX to POWR LADDER, INC at 920-836-2102
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Manufacturer's |
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Model |
List Price* |
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12'ER
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$1,867.00 |
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12'G
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$1,967.00 |
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12'ERG
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$2,328.00 |
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14'ER
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$1,932.00 |
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14'G
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$2,087.00 |
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14'ERG
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$2,395.00 |
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16'ER
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$1,983.00 |
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16'G
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$2,148.00 |
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16'ERG
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$2,442.00 |
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18'ER
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$2,048.00 |
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18'G
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$2,206.00 |
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18'ERG
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$2,508.00 |
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20'ER
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$2,119.00 |
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20'G
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$2,279.00 |
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20'ERG
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$2,581.00 |
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22'ER
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$2,271.00 |
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22'G
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$2,429.00 |
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22'ERG
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$2,741.00 |
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24'ER
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$2,327.00 |
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24'G
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$2,363.00 |
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24'ERG
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$2,794.00 |
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HOIST
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$1,455.00 |
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*
Plus Shipping |
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Please Ship:
QTY
_____ Model ___________
ELEVATOR
QTY ______ Model
___________ ELEVATOR
QTY ______ HOIST
for _________ SIZE ELEVATOR
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Ship To:
_________________________________
_________________________________
_________________________________
_________________________________
P.O.# ________________ Date:
_______
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Bill To:
_________________________________
_________________________________
_________________________________
Ordered by: ________________________
Phone: (_____) ______________________
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Code Identification:
ER =Electric Motor (forward
& reverse)
G = Gas motor only
ERG = Electric motor & gas engine
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Print form. Fill in your order.
FAX to POWR LADDER, INC. at 1-920-836-2102
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