Customer/Dealer Request Form

Terms/Conditions: As the Equipment Tester you are responsible for making sure the equipment is properly used and maintained. Please ensure that you have the correct electric, plug/receptacle configuration and space is cleared for delivery. You agree to return the equipment at the end date specified in this agreement and will pay for cleaning and/or repair if equipment returned is not properly maintained (ordinary wear and depreciation expected).
Rep Group*
Rep Name*
First Last
Rep Phone*
Ovention Sales Manager*
End User*
Date*
MM slash DD slash YYYY
Pick one of the following*
- Rep/Dealer kitchen test oven - oven must stay with rep/dealer unless discussed with Ovention Sales Manager
- Customer test oven in their facility - maximum 30-day test (must communicate with Ovention Sales Manager if this period needs to be extended)
Oven Information
Include the details about each oven
Item # Description Quantity of Units Price ea/
Ship To Name*
Ship to Address*
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code
Ship To Contact Phone*
Dealer Company Name
Dealer Contact Name
First Last
Dealer Phone
Test End Date*
MM slash DD slash YYYY
PO for Order
Lift Gate Required?*
- Yes
- No
Is the Power Correct for the Unit and Ready?*
- Yes
- No
Any Other Information (freight, electrical, etc.)

Item #	Description	Quantity of Units	Price ea/

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