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REQUIRED0 0 <br />CONVERSION ORDER FORM <br />■ - <br />RLE:4,SE PTI <br />DISTRIBUTOR: SALES PERSON: <br />■ r � <br />MODELMANUFACTURER <br />SERIES / MAKE <br />- <br />THIS INFORMATION IS NEEDED TO DETERMINE NUMBER OF OFFSETS, <br />® BRAVO BOX? OR MANUFACTURER <br />SHALLOW PAN OR DEEP SUMP <br />WATER SPLASH OPENING: LENGTH WIDTH <br /># OF ANCHOR BOLTS: LENGTH WIDTH <br />DOES THE UDC HAVE A WATERSPLASH LIP? ® YES ® NO <br />THIS INFORMATION DEFINES THE UDC SUMP OPENING AND DETERMINES FRAME DIMENSIONS <br />NEWREPLACEMENT DISPENSER <br />MODELMANUFACTURER <br />SERIES / MAKE <br />- <br />RUNOFFWATER SPLASH -• •- POINT LOCATIONS <br />• iii � � iii �' ` <br />S. BRAVO SYSTEMS, INC - 2929 Vail Avenue - Commerce • CA • 90040 <br />Fax: 323/888-4123 • E-mail: info@sbravo.com - www.sbravo.com <br />affig <br />Mm..w <br />Conv-B2000 Order Form <br />