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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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$2,000.00 |
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12'G
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$2,107.00 |
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12'ERG
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$2,494.00 |
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14'ER
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$2,070.00 |
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14'G
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$2,236.00 |
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14'ERG
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$2,566.00 |
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16'ER
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$2,124.00 |
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16'G
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$2,300.00 |
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16'ERG
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$2,616.00 |
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18'ER
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$2,193.00 |
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18'G
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$2,363.00 |
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18'ERG
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$2,686.00 |
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20'ER
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$2,270.00 |
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20'G
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$2,441.00 |
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20'ERG
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$2,764.00 |
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22'ER
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$2,433.00 |
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22'G
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$2,602.00 |
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22'ERG
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$2,936.00 |
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24'ER
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$2,493.00 |
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24'G
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$2,708.00 |
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24'ERG
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$2,993.00 |
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HOIST
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$1,898.00 |
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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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