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*Company name:  
*Contact Person: 
              *Phone: 
                    Fax: 
   Pallet # 1
  New    Reconditioned A  Reconditioned B
         *Pallet Size: 
 Select: 2-way    4-way    Champher   flush     Wing  
           *Stringers: 
          *Top Deck: 
            Top Deck:    
     *Bottom Deck:
       Bottom Deck:
                  Usage:     
                   *City:               *State:
   
    *Email Address: 

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