Purchase Request to: *Date Company Billing Information: *Company Name *Purchasing Agent *Address (L1) Address (L2) *City *State *Zip *Phone   Fax *E-mail * = Required Information PO# / Ref# Shipping Address: (if different than billing) Company Name Contact Name Address (L1) Address (L2) City State Zip Phone Fax E-mail Paddington II/G™ Order: ea.  1001 Paddington II/G™ $685.00 Parts Order: Order Qty. Item # Description Unit Price pr.  1006 Latch and Spring (pairs only) $40.00 ea.  1008 Mechanical Timer $38.00 ea.  1009 Electronic Timer $62.50 pr.  1010 Rope (pairs only) $4.00 ea.  1011 Backboard Knob $4.00 ea.  1012 Motor & Fan Blade $48.50 ea.  1013 Pressure Bar $37.50 ea.  1014 Metal Glue Strip $13.96 ea.  1015 Backboard $85.00 ea.  1016 Paper Guide $19.00 ea.  1017 Fan Blade $6.00 ea.  1018 Slide Track $4.80 ea.  1019 Clam Cleat $8.40 ea.  1020 Snap Disk Limit Control $17.50 ea.  1021 Heating Element $46.25 ea.  1024 Eye Strap Saddle $4.60 ea.  1050 Bearing Swivel $26.00 ea.  1055 Ticket Padding Accessory $10.40 Special Instructions: Terms: Net 30 days (O.A.C.) from ship date. Late charges of 1½% per month (min. $5.00) apply. A $3.00 handling charge applies to all orders. Shipping charges are added to all orders. Orders shipped within California are charged 7.75% Sales Tax. Upon receipt of order, we will respond with the total invoice amount, and ask for confirmation to ship.