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Advanced Hydraulic & Machine
1897 Oilfield Road
Casper, WY 82604
Phone: (307)235-5086
FAX: (307)235-5112

So that we can better understand your needs, please fill out the following with as much information as you can. Fields marked in Bold Blue type are required. Thank you.
Customer Name   Contact Email  
Business Name  
Business Address  
City      State      Zip 
Phone Number  Fax Number 

Pump:   Hydraulic Pneumatic When needed  
Model #      Serial #      Qty  

Motor:   Hydraulic Pneumatic When needed  
Model #      Serial #      Qty  

Valve:   Hydraulic Pneumatic When needed  
Model #      Serial #      Qty  

Cylinder:   Hydraulic Pneumatic    Model #  
Serial #      Bore      Stroke      Rod Size  
End Attachment:   Rod Blind End      Port Size        Port Type  

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