Single Liner Form
Customer Information
Today's Date:
Ordered By
Phone
Your E-mail
Liner Configuration
Freight
Other
Weststar
To be determined
Collars
Front
Back
Truck
Hydro
Straight
AFE #
Rig Name
Well Location
One Trip Adapter
Yes
No
Well
Liner
Full-Perf Slots
Semi-Perf Slots
Liner
Spade Shoe
Circulating Shoe
Special Instructions:
I agree with the J.D. Rush Terms & Conditions