EHC - The World Leader in Escalator Handrails

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	Order Handrails

CUSTOMER INFORMATION

Customer Name:		Region:
Order Date:	/ /	Ship Date:	/ /
Purchase Order #:		Contract or Service Order #:

UNIT INFORMATION
Escalator Model:		Handrail Part #:
Balustrade:

# of Handrails @ Length
	@	Black	Colour:
			* Custom colours available upon request

Configuration:		Location:
Motion Indicators:		Spacing:

OTHER PRODUCTS
Handrail Cleaner	Trial Size 12 Oz. 1 Gallon Quantity
Handrail Polish	Trial Size 12 Oz. 1 Gallon Quantity
RapidRail Installation Tool	Quantity

CONTACT INFORMATION
Invoice Address:		Ship To Address Same or:
Ship Via:

Requester's Name:		Title:
Telephone #:		Fax #:
Email Address:
Notes:		Box Markings:
I would like my order confirmed by: Phone Fax Email