2022 Best Western Order Form

Required fields marked with *

Best Western Property Number

Property Name *

Billing Address *

Shipping Address *
Street Address *

Secondary Address

City *

State *

Zip Code *

Name *

Phone Number *

Email Address *

Type of Payment (check one): *
CheckCredit Card

Equipment Ordered *

Note: A = Air Cooled, W = Water Cooled

—Please choose an option—KML-325MAJKML-325MWJKML-500MAJKML-500MWJKML-350MAJKML-350MWJKML-520MAJKML-520MWJother

Optional Filter
—Please choose an option—HDI-11other

Bin/Dispenser *
—Please choose an option—DB-130HDB-200Hother