Brochure

Trade Price Schedule
Prices effective January 1, 2014
3
Parker Hannin Corporation
Broadview, IL 60155
ph: [phone] fax: [phone]
[e-mail] n www.parker.com/coolparts
Parker PHconnect Application
YES! I want to apply for Parker’s PHconnect service. By signing and completing this document, I agree to the standard
terms and conditions of use listed on the back of this form.
Company Name: ___________________________________________________________________________________
Company Address: _________________________________________________________________________________
City/State/Zip: _____________________________________________________________________________________
Phone Number: ____________________________________________________________________________________
YOUR COMPANY’S BILL-TO AND SHIP-TO LOCATIONS (PARKER SIX DIGIT CUSTOMER CODES) FOR WHICH YOU
ARE REQUESTING PHCONNECT:
USER ADMINISTRATOR:
(should be main user at this location; can also grant access to PHconnect features to other users at this location)
Name/Title:_________________________________________ e-mail address: _________________________________
Requested USER ID (i.e. Bobby123, LisaXYZ, etc.): _______________________________________________________
ADDITIONAL USERS:
1) Name/Title: ________________________________________ e-mail address: ________________________________
Requested USER ID (i.e. Bobby123, LisaXYZ, etc.): _______________________________________________________
2) Name/Title:_________________________________________ e-mail address: _______________________________
Requested USER ID (i.e. Bobby123, LisaXYZ, etc.): _______________________________________________________
PERSON COMPLETING THIS FORM
Your Name: (PLEASE PRINT):________________________________________________________________________
Title:_____________________________________________________________________________________________
Signature:________________________________________________________________________________________
PLEASE RETURN TO:
Clair Young
Parker Hannin Corporation
2445 South 25th Avenue
Broadview, IL 60155
OR
Fax: [phone]
PHconnect