GreenPartStore Parts Quote www.GreenPartStore.com 1-815-432-6319

Step 1 Please enter Credit Card Billing Information below

Billing Name:___________________________________ Address: _______________________________________ ______________________________________________ City: ______________________State: ____Zip: _______ Phone:_________________________________________ E-Mail: _______________________________________

Step 2 Please enter Shipping Information below

Name:_________________________________________ Address: _______________________________________ ______________________________________________ City: ______________________State: ____Zip: _______ Phone:_________________________________________ E-Mail: _______________________________________

Step 3 Machine Information Machine (tractor, deck, etc.) __________________________________________ Model __________Year __________ Serial Number _______________________

Step 5 Submit for quote By PHONE By FAX ONLINE By MAIL 888-432-6319 815-432-6743 GreenPartStore.com GreenPartStore 1753 N State Rt 1 Watseka, IL 60970

Step 4 Please enter the item number, description and quantity below . | For office use only

Item Number and Description Quantity Unit Price Total Price

Please list additional items on an additional form. Sales Tax may be applied for shipping addresses to the state of Illinois (6.25%) and to the state of Indiana (7.0%)

Total

Tax IL & IN only

Shipping

Total Cost

Please provide complete product information to the

right. This will ensure a correct

parts quote.