Date Returned ____________________________________________
Model No. ________________________________________________
Serial No. _________________________________________________
Coil Hook
Crate
Tarp
Miscellaneous _____________________________________________
Comments ________________________________________________
_________________________________________________________
_________________________________________________________
Repairs __________________________________________________
Labor Cost _______________________________________________
Parts Cost ________________________________________________
Fill out and mail or fax to:
Berridge Manufacturing Co.
Roll Former Operations
2201 Rudeloff Road
Seguin, TX 78155
Fax: (830) 303-0530
Portable Roll Former Return Information Form