Operating Manual IV - 1

IV. Order Form for Spare Parts

To: LINTEC GmbH & Co. KG Delivery address:

Alter Postweg 28 Company name:
Street
D-21614 Buxtehude
Place
Phone:
Phone: +49(0)4161-866-0
Fax:
Fax: +49(0)4161-866-188
E-mail: info@lintec-gmbh.de Email:
Client no.:
Contact person:

(Place for additional indications:) Invoice address (if different):

Company name:
Street:
Place:
Phone:
Fax:
Email:
Client no.:
Contact person:

Please state in your order: Catalogue – Pos. – Part no. – Description – Quantity – Unit
(This information can be found in the spare parts list in chapter 6.2 of this manual)

We order in conformity with the contract conditions the following articles:

Catalogue Position Part no. Description Quantity Unit

................................................. .........................................
Date Signature Stamp

Version: 150304a LINTEC GmbH & Co. KG