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Scooters Order Form June 2019Mark For:Submitting for:Date:PO#:QuoteOrderDealer Acct #: Dealer:ADDITIONAL SHIPPING INFORMATIONDealer Contact:Ship To:Dealer Address:Attention:Dealer City:PV:Dealer Phone:
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On the top of the form, write the date of ordering.
02
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03
Provide the name and address of the recipient if different from your personal information.
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Select the desired package option from the available choices provided on the form.
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Specify the quantity of the selected package option.
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