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Machine And Chain Order Form - Canada
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Russian Federation
Rwanda
Réunion
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Is this machine for stock or retail?
Stock
Retail
Customer Information
Customer information will only be used by Kelly to contact our customers directly for product and service improvement and warranty issues. We do not share our data with other companies.
Customer Name
First
Last
Customer Email
Address
Street Address
Address Line 2
City
State / Province / Region
ZIP / Postal Code
Afghanistan
Albania
Algeria
American Samoa
Andorra
Angola
Anguilla
Antarctica
Antigua and Barbuda
Argentina
Armenia
Aruba
Australia
Austria
Azerbaijan
Bahamas
Bahrain
Bangladesh
Barbados
Belarus
Belgium
Belize
Benin
Bermuda
Bhutan
Bolivia
Bonaire, Sint Eustatius and Saba
Bosnia and Herzegovina
Botswana
Bouvet Island
Brazil
British Indian Ocean Territory
Brunei Darussalam
Bulgaria
Burkina Faso
Burundi
Cabo Verde
Cambodia
Cameroon
Canada
Cayman Islands
Central African Republic
Chad
Chile
China
Christmas Island
Cocos Islands
Colombia
Comoros
Congo
Congo, Democratic Republic of the
Cook Islands
Costa Rica
Croatia
Cuba
Curaçao
Cyprus
Czechia
Côte d'Ivoire
Denmark
Djibouti
Dominica
Dominican Republic
Ecuador
Egypt
El Salvador
Equatorial Guinea
Eritrea
Estonia
Eswatini
Ethiopia
Falkland Islands
Faroe Islands
Fiji
Finland
France
French Guiana
French Polynesia
French Southern Territories
Gabon
Gambia
Georgia
Germany
Ghana
Gibraltar
Greece
Greenland
Grenada
Guadeloupe
Guam
Guatemala
Guernsey
Guinea
Guinea-Bissau
Guyana
Haiti
Heard Island and McDonald Islands
Holy See
Honduras
Hong Kong
Hungary
Iceland
India
Indonesia
Iran
Iraq
Ireland
Isle of Man
Israel
Italy
Jamaica
Japan
Jersey
Jordan
Kazakhstan
Kenya
Kiribati
Korea, Democratic People's Republic of
Korea, Republic of
Kuwait
Kyrgyzstan
Lao People's Democratic Republic
Latvia
Lebanon
Lesotho
Liberia
Libya
Liechtenstein
Lithuania
Luxembourg
Macao
Madagascar
Malawi
Malaysia
Maldives
Mali
Malta
Marshall Islands
Martinique
Mauritania
Mauritius
Mayotte
Mexico
Micronesia
Moldova
Monaco
Mongolia
Montenegro
Montserrat
Morocco
Mozambique
Myanmar
Namibia
Nauru
Nepal
Netherlands
New Caledonia
New Zealand
Nicaragua
Niger
Nigeria
Niue
Norfolk Island
North Macedonia
Northern Mariana Islands
Norway
Oman
Pakistan
Palau
Palestine, State of
Panama
Papua New Guinea
Paraguay
Peru
Philippines
Pitcairn
Poland
Portugal
Puerto Rico
Qatar
Romania
Russian Federation
Rwanda
Réunion
Saint Barthélemy
Saint Helena, Ascension and Tristan da Cunha
Saint Kitts and Nevis
Saint Lucia
Saint Martin
Saint Pierre and Miquelon
Saint Vincent and the Grenadines
Samoa
San Marino
Sao Tome and Principe
Saudi Arabia
Senegal
Serbia
Seychelles
Sierra Leone
Singapore
Sint Maarten
Slovakia
Slovenia
Solomon Islands
Somalia
South Africa
South Georgia and the South Sandwich Islands
South Sudan
Spain
Sri Lanka
Sudan
Suriname
Svalbard and Jan Mayen
Sweden
Switzerland
Syria Arab Republic
Taiwan
Tajikistan
Tanzania, the United Republic of
Thailand
Timor-Leste
Togo
Tokelau
Tonga
Trinidad and Tobago
Tunisia
Turkmenistan
Turks and Caicos Islands
Tuvalu
Türkiye
US Minor Outlying Islands
Uganda
Ukraine
United Arab Emirates
United Kingdom
United States
Uruguay
Uzbekistan
Vanuatu
Venezuela
Viet Nam
Virgin Islands, British
Virgin Islands, U.S.
Wallis and Futuna
Western Sahara
Yemen
Zambia
Zimbabwe
Åland Islands
Country
Product Information
Model Selection
None
Chains Only
2006
3009
4012
4614
6218HDX
Chain Size
None
2006
3009
4012
4614
6218HDX
45
List Price
Tire Option
Standard 11.5/80-15.3
Tire Option
400/55/22.5 Flotation BKT
Tire Option
400/55/22.5 Flotation BKT
Tire Option
15.5 x 24
2006 Front Chain Selection
None
Spike Disc Chain SD49/27/5 2006
W36/25/7 2006
CL1 Disc Chain CL47/35/7 2006
CL75/25/8 CL2 2006
K4/50/25/63 2006
3009 Front Chain Selection
None
SD49/27/5 Spike Disc 3009
W36/25/7 3009
CL1 Disc Chain CL47/35/7 3009
CL75/25/8 CL2 3009
K4/50/25/63 3009
4012 Front Chain Selection
None
SD49/27/5 Spike Disc 4012
W36/25/7 4012
CL47/35/7 (CL1) 4012
CL75/25/8 CL2 4012
K4/50/25/63 4012
4614 Front Chain Selection
None
SD49/27/5 Spike Disc 4614
W36/25/7 4614
CL47/35/7 (CL1) 4614
CL75/25/8 CL2 4614
K4/50/25/63 4614
6218HDX Front Chain Selection
None
SD49/27/5 6218HDX
W36/25/7 6218HDX
CL47/35/7 (CL1) 6218HDX
CL75/25/8 CL2 6218HDX
K4/50/25/63 6218HDX
List Price
List Price
List Price
List Price
List Price
2006 Rear Chain Selection
None
SD49/27/5 Spike Disc 2006
W36/25/7 2026
CL47/35/7 (CL1) 2006
CL75/25/8 CL2 2006
K4/50/25/63 2006
3009 Rear Chain Selection
None
SD49/27/5 Spike Disc 3009
W36/25/7 3009
CL47/35/7 (CL1) 3009
CL75/25/8 CL2 3009
K4/50/25/63 3009
4012 Rear Chain Selection
None
SD49/27/5 Spike Disc 4012
W36/25/7 4012
CL47/35/7 (CL1) 4012
CL75/25/8 CL2 4012
K4/50/25/63 4012
4614 Rear Chain Selection
None
SD49/27/5 Spike Disc 4614
W36/25/7 4614
CL47/35/7 (CL1) 4614
CL75/25/8 CL2 4614
K4/50/25/63 4614
6218HDX Rear Chain Selection
None
SD49/27/5 Spike Disc 6218HDX
W36/25/7 6218HDX
CL47/35/7 6218HDX
CL75/25/8 CL2 6218HDX
K4/50/25/63 6218HDX
List Price
List Price
List Price
List Price
List Price
Outer wing dual wheel option
None
1 Set outer wing dual wheels
Outer wing dual wheel option
Standard
Hitch option
None
15mm ring feeder hitch
Hitch option
None
Ball Socket Hitch Cat.4 2” Pin Size (1-1/2” Bushing)
Ball Socket Hitch Cat. 5 2-1/2” to 2-3/4” Pin Size (2-1/2” Bushing)
Hitch option
None
Ball Socket Hitch Cat. 5 2-1/2” to 2-3/4” Pin Size (2-1/2” Bushing)
Cover crop seeding option
None
Integrated 80cu ft Seeder for One Pass Cover Crop Seeding
List Price
Additional Products
Tick which additional products you require
CL2 Changeover jig fixture 0810-CL2PJA
Standard 11.5/80-15.3 tire
Standard 14-17 10 Ply titan loader lagged tire
14L-16.1 ply implement ribbed tire
400/60/22.5 flotation BKT tire
62HDX lug tire 15.5/80/248STR
Additional Chain
Additional Front Chain
None
SD49/27/5
W36/25/7
CL47/35/7
CL75/25/8
K4/50/25/63
Additional Front Chain
None
SD49/27/5
W36/25/7
CL47/35/7
CL75/25/8
K4/50/25/63
Additional Front Chain
None
SD49/27/5
W36/25/7
CL47/35/7
CL75/25/8
K4/50/25/63
Additional Front Chain
None
SD49/27/5
W36/25/7
CL47/35/7
CL75/25/8
K4/50/25/63
Additional Front Chain
None
SD49/27/5
W36/25/7
CL47/35/7
CL75/25/8
K4/50/25/63
Price
Additional Rear Chain
None
SD49/27/5
W36/25/7
CL47/35/7
CL75/25/8
K4/50/25/63
Additional Rear Chain
None
SD49/27/5
W36/25/7
CL47/35/7
CL75/25/8
K4/50/25/63
Additional Rear Chain
None
SD49/27/5
W36/25/7
CL47/35/7
CL75/25/8
K4/50/25/63
Additional Rear Chain
None
SD49/27/5
W36/25/7
CL47/35/7
CL75/25/8
K4/50/25/63
Additional Rear Chain
None
SD49/27/5
W36/25/7
CL47/35/7
CL75/25/8
K4/50/25/63
Price
Other instructions relating to this order
Estimated Freight Cost
Quoted Freight
Freight to be invoiced separately
Total Order Value
Discounts
Dealer discount: 25%
Hidden
Paid within terms: 10%
Hidden
Is there an additional discount on this machine?
Yes
Discounted Product
Discount Value
Approved By
Total
Initial Total
Surcharge Total
Final Total
Order Summary
Item
Price
Product
{Model Selection:24}
{list price:26}
Tire Option
{Tire Option:34}{Tire Option:136}{Tire Option:137}{Tire Option:77}
Dual Wheel Option
{Outer wing dual wheel option:50}{Outer wing dual wheel option:76}
{Outer wing dual wheel option price:194} {Outer wing dual wheel option price:195}
Front Chain Selection
{2006 Front Chain Selection:39} {3009 Front Chain Selection:67} {4012 Front Chain Selection:69} {45 Front Chain Selection:68} {4614 Front Chain Selection:132} {6218HDX Front Chain Selection:70}
{list price:40} {list price:103} {list price:104} {list price:105} {list price:133} {list price:106}
Rear Chain Selection
{2006 Rear Chain Selection:42} {3009 Rear Chain Selection:71} {4012 Rear Chain Selection:72} {45 Rear Chain Selection:73} {4614 Rear Chain Selection:134} {6218HDX Rear Chain Selection:74}
{2006 rear chain price:44} {3009 rear chain price:107} {4012 rear chain price:108} {45 rear chain price:109} {4614 rear chain price:135} {6218HDX rear chain price:110}
Hitch Option
{Hitch Option:138} {Hitch Option:139} {Hitch Option:140}
Cover Crop Seeding Option
{Cover Crop Seeding Option:141}
{Cover Crop Seeding Option Price:116}
Additional Products
{CL2 Changeover jig fixture 0810-CL2PJA:180.1} {Standard 11.5/80-15.3 tire:188.1} {Standard 14-17 10 Ply titan loader lagged tire:189.1}{14L-16.1 ply implement ribbed tire:182.1} {400/60/22.5 flotation BKT tire:183.1} {6218HDX lug tire 15.5/80/248STR:184.1}
{CL2 Changeover jig fixture 0810-CL2PJA Price:186} {Standard 11.5/80-15.3 tire price:187} {Standard 14-17 10 Ply titan loader lagged tire price:190} {14L-16.1 ply implement ribbed tire price:191} {400/60/22.5 flotation BKT tire price:192} {6218HDX lug tire 15.5/80/248STR price:193}
Sub Total:
{Number:54}
Dealer Discount:
{Number:277}
Paid within terms:
{Number:278}
Discounted Total:
{Number:96}
Surcharge:
{Number:200}
Total:
{Number:201}
Est. Freight Cost:
{Number:276}
Order Summary
Item
Price
Chain Size
{Chain Size:120}
Front Chain Selection
{2006 Front Chain Selection:39} {3009 Front Chain Selection:67} {4012 Front Chain Selection:69} {45 Front Chain Selection:68} {4614 Front Chain Selection:132} {6218HDX Front Chain Selection:70}
{list price:40} {list price:103} {list price:104} {list price:105} {list price:133} {list price:106}
Rear Chain Selection
{2006 Rear Chain Selection:42} {3009 Rear Chain Selection:71} {4012 Rear Chain Selection:72} {45 Rear Chain Selection:73} {4614 Rear Chain Selection:134} {6218HDX Rear Chain Selection:74}
{2006 rear chain price:44} {3009 rear chain price:107} {4012 rear chain price:108} {45 rear chain price:109} {4614 rear chain price:135} {6218HDX rear chain price:110}
Sub Total:
{Number:54}
Sub Total:
{Number:54}
30 Day Discount percent:
{Number:113}
15 Day Discount percent:
{Number:174}
Additional Discount:
{Number:205}
Discounted Total:
{Number:96}
Surcharge:
{Number:200}
Total:
{Number:201}
Est. Freight Cost:
{Number:276}
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