Order Form
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)