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Engine Order Form:

 

                                                                Date____________                                     

Company Name___________________________________

Address_________________________________________

             _________________________________________

Phone #______________________Fax #_______________

Contact person____________________________________     

 

P.O.#___________________

Tractor Size ___________________ Tractor Series__________

Tractor Serial # ___________________ Engine Size_______

Engine Serial # (required on all 504) ___________________

 

Select one:   #1engine____________________         #2engine__________________

 

Select one:

                   Complete engine ____________

                                                                       Manual kill ______ Electric kill ________                           

 

                   Short block ________________

                   Short block with head ________

Select one:

                   Turbo ___________

                   Non-turbo________

Engine Color:

                   Black __________

                   Yellow _________

                   Olive Drab ______

                   Cummins Beige_______

 

25% restocking fee + all freight charges on any miss ordered or cancelled engine sale.



All engines will be shipped to you freight collect.  We pay return freight on selected returned cores. 

Call us to see if your core is

eligible for free return freight

 
 


Shipping:      YRC _______________________                  

                     R & L _____________________         

                     UPS Freight ________________        

                     Other _____________________ (please specify)

                                                                                                          ______________________

                                                                                                                      Customerís signature

Return to: Hagan Tractor Parts, Inc.

                 Broken Arrow, OK  74014

                 800-365-0602

                 918-251-6393 fax

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