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Great Sports Inc.
Parts Requisition Form
21765 S. Center Ave, New Lenox, IL. 60451
(P#) 708-669-1237 (F#) 815-215-5183
parts@saferwholesale.com
TO BE COMPLETED BY CUSTOMER
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BILLING |
SHIPPING |
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Name |
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Name |
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Address |
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Address |
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Address2 |
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Address2 |
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City State Zip |
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City State Zip |
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Phone |
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Phone |
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E-mail |
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E-mail |
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ORDER INFORMATION |
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Sale # |
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Unit Purchased |
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Sale Date |
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VIN # |
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model |
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PAYMENT INFORMATION |
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Check # |
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Routing # |
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Account # |
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Bank Name |
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PARTS REQUISITION |
PART NEEDED/DESCRIPTION OF PROBLEM |
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Quantity |
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# |
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Quantity |
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# |
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Quantity |
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Quantity |
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Quantity |
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# |
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Quantity |
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# |
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Please mention any comments in this blank space |
subtotal |
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Shipping |
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Total |
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Instructions
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Warranty claims must include SHIPPING payment to be processed MIN. charge is $15. If charge is more than $15, Parts will contact customer.
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Warranty claims must include the unit's VIN number.
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WITHOUT THE VIN#, A WARRANTY CLAIM WILL NOT BE PROCESSED.
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Please send pictures with your part order to clarify the part needed.
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Customer will not be billed until Great Sports Inc. confrims the part is in stock.
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You may also fax the completed form to 815-215-5183
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You may also mail it to the address at the top of the page.
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