FAX QUOTATION/
ORDER FORM
Fax this form to: 916-373 9095
DATE:
  
Prices will be quoted, INCLUDING FREIGHT, to your Town / City.
Delivery will be through a Bare-Co Distributor who will handle any additional requirements.
NAME:   

STREET ADDRESS:

   TOWN / CITY  
ZIP CODE
(Required for
FREIGHT quote) 		  E-MAIL ADDRESS:
OR
FAX NUMBER:		  
Please quote to supply the following items:
TRACTOR MODEL:  
BARE-Co
PART No.
 QTY DESCRIPTION QUOTE
(Office Use)