Company Name:
Contact Name: 
Phone Number:
Fax Number:    
E-mail:            

CARTRIDGE COLLECTOR Yes  No
Collector Manufacturer
 (Torit, Smog Hog etc.)
Model No
Cartridge Qty.

BAGHOUSE COLLECTOR Yes  No
Manufacturer:
(Torit, Smog Hog etc.)
Model No.
Bag Qty.
Bag Diameter Inches
Bag Length     Inches
Fastening Style
Material