Allied Construction Products, LLC www.alliedcp.com
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TM574173_HP4000_18feb
13.0 Parts Order Form
Your local Allied dealer requires the Product Name,
Model and Serial Number to better assist you with
questions regarding parts, warranty, operation,
maintenance, or repair. This information should be
noted in Section 2.3 of this manual.
Product
Ho-Pac
Model
4000
Serial No.
Complete information is required
Line
Description
Part Number
Quantity
Price
1
2
3
4
5
6
7
8
9
10
Your contact information
Your Name
Company Name
Phone
Account Number
Fax
Purchase order
Shipping carrier
*See note below
Billing Address
Shipping Address
*Note: All backordered parts will be shipped when available via the same method as the original order unless initialed
and checked below:
Initials
Ship complete order only
Ship available parts and contact customer on disposition of backordered parts
Other – specify below
