Page 11 - TD 2020-2021 March2021
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FAX TO:        252-787-5855
                                                                         EMAIL:         PARTS@BRGLIMITED.COM










         Bill To:       Account Number:                                     Shipping Address if different
         Dealer Name
         Address
         City
         State                      Zip Code
         Telephone




               Qty               Part #       Descrip on                             List Price         Ext List

























                                                                                         Total List
        Trade 25 %                                                                       Discount
        Stocking Discount  10%                                                 Total A er Discount


         DELIVERY INSTRUCTIONS:
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