"Seal It" Order Form
City:
State:
Zip:
Please enter my order for:
"Seal It" Model A can seaming machine @ $1449.00 each
X $1,449.00 = $ (Quantity)
"Seal It" Model B can seaming machine @ $1,695.00 each
X $1,695.00 = $ (Quantity)
Optional can size adapter kit @ $140.00 each size: _________ 300 Size Can Adapter (Quantity) _________ 401 Size Can Adapter (Quantity) _________ 404 Size Can Adapter (Quantity)
X $140.00 = $ (Total Quantity)
Sub-Total $
Utah Residents add 6.80% Sales Tax $
Shipping @ $60.00 per machine X $60.00 = $ (Quantity)
TOTAL $
SIGNATURE
Print Order Form Fill it out Send or Fax to:
Heinhold Engineering & Machine Co., Inc. Salt Lake City, UT 84104 801-886-1196 FAX 801-973-7620 E-Mail: heinhold1@hotmail.com Toll Free: 1-800-262-4275
Or Fill it out online, and we will contact you via your email address