Moss Equipment - Distributor Used Equipment Submit Form



I-135&State St.PO Box 2807Salina, KS 67402-2807785-825-8177800-221-8177Fax:785-823-2281www.mosssales.commoss@mosssales.com

Moss Equipment

Used Equipment Submission Form (Distributor Only)
Please complete the following:

Your Name:	Distributor Name:
City	. State:	Zip:
Phone:
Email Address: .(required for response)
Select Category:	Miscellaneous	Pull Type Sprayers
Liquid Application Systems	Dry Application Systems	Post-Emerge Application Systems

Ref. No.:	Model:	Year:
Hours:	Photo being sent?:
Brief Description:
Location:	Asking Price: (optional)
Picture: Send picture via email to: webmaster@webcenteramer.com and please make sure the subject includes the Ref. No. for cross reference. The picture should be a .jpg or .gif format and as a single attachment or pasted in the email, thank you.
Additional information and/or corrections you wish to provide about your equipment: