Preventative Maintenance Parts Program

Please sign me up for the Preventative Maintenance Parts Program and automatically ship the items to me at the interval indicated below.  I authorize Taylor of Oklahoma to charge my account for the products or services as provided.

Model #:
Serial #:
ITEM QTY FREQUENCY Tune Up Kit Quarterly (90 days) Scraper Blades Quarterly (90 days) Brush Kit Semi-Annually (180 days) Taylor Lube Quarterly (90 days) Sanitizer Quarterly (90 days)
Business Name:
Address:
City:
State:	ZIP/Postal Code:
Telephone:
Fax:
E-mail:
Name:
Bill to Account #:
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