R K PRIDHAM ENGINEERING
Please print this form and return it to us along with your order.
| Date | |
| Order No. | |
| Customer | |
| Contact | |
| Telephone |
| A: Flue Tube O.D. | |
| B: Wall Thickness | |
| C: Small End O.D. | |
| D: Length | |
| E: Quantity |
| Signed | Date |
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