Hoist & Cord Reel Assembly Kit:
     

Dave Adams
Matlamps
130 Candice CT.
Medford, OR 97504
Cell 541-326-9397
e-Mail : dave@matlamp.com

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Name:

School/Company:

Street Address:

City:

State:

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Number of Hoists (with Reel): ___ x ($825 +$75 shipping) = $ ________

Number of Heavy Duty Hoists (with Reel): ___ x ($2650 +$150 shipping) = $ ________

Number of Lamps: ____ x ($925 +$75 shipping) = $ ________

Total = $ _________

PO or Check Information:

Phone:

Fax:

 

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