ORDER FORM


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	ORDER FORM

	CLICK ON THE PRODUCT GIVEN BELOW TO DOWNLOAD THE ORDER FORMS (English - PDF Format)
	Ceramic Heater Order Form
	Ceramic Heaters 2 Part Order Form
	Ceramic Heaters 4 Part Order Form
	Mica Heater Order Form
	Mica Heater 2 Part Order Form
	Mica Heater 4 Part Order Form

	CLICK ON THE PRODUCTS GIVEN BELOW TO SUBMIT THE ORDER FORM ONLINE
	Ceramic Heater Order Form \| Ceramic Heaters 2 Part Order Form \| Ceramic Heaters 4 Part Order Form
	Mica Heater Order Form \| Mica Heater 2 Part Order Form \| Mica Heater 4 Part Order Form

ALL THE DIMENSIONS ARE IN MM

SL. NO.	1	2	3	4	5	6	7	8	9	10
DRG NO.
EXCEL DRG NO.
LOCATION USED
DIA Ø
LENGTH (L)
VOLT (V)
Hz
WATT (W)
TYPE
JUN BOX
HOLE LOC
HOLE Ø
HOLE LENGTH ( H-L)
SLOT RADIUS
LEAD LENGHT
QTY

Name Mr / Ms *
Designation *
Department *
Company Name *
Address
Phone (Office) *	(With Country Code)
Phone (Factory)	(With Country Code)
Fax	(With Country Code)
Mobile	(With Country Code)
Email *
Website

Address : Excel Heaters Pvt. Ltd., 122, Andheri Industrial Estate, Veera Desai Road, Andheri (West), Mumbai - 400 053, India.
Tel.: 91-22-26730888 , 26731171-72 | Fax: 91-22-26731173 | E-mail : excelheaters@vsnl.net, sales@excelheaters.com

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