REQUEST FOR ORDER SPARE PARTS
R
1.1
© MOSA
1.0-04/97
Dear Customer,
You can send us the request for order of MOSA original spare parts, filling in this form, with the new spare
parts tables as well as with the old ones, by FAX or mail.
18/04/97 R1-1
Request from:...................................................... date:.............................. signature:.........................................
Please send use us following sapre parts for the machine below:
MOSA SPARE PARTS:
model type:
.................................................................
serial nr:
N E W T A B L E S
t a b l e n r.
p o s i t i o n
q . t y
ENGINE SPARE PARTS:
engine model: .............................................
engine serial nr.:.................................................
SYNCHRONOUS ALTERNATOR SPARE PARTS:
alternator model:..........................................
alternator serial nr.:............................................
O L D TA B L E S
c o d e
q .ty
c o d e a n d /o r p o s itio n
d e s c rip tio n a n d /o r ta b le
q .ty
c o d e a n d /o r p o s itio n
d e s c rip tio n a n d /o r ta b le
q .ty
