Quotation Request

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Please use this form to request pricing for: stock, volume end users, or public bids.  We will begin working on your request as soon as it is received.   Thank you for your time and interest!

  1. Please provide us with your contact information:

    Name
    Title
    Organization
    Street Address
    Address (cont.)
    City
    State
    Zip Code
    Work Phone
    FAX
    E-mail
  2. Are you a distributor of janitorial supplies?

    Yes No

  3. Type of quotation:


  4. If you answered, "End User" or "Public Bid," what is the name of the end user?
    Note:  enter shipping information at the end of this form


  5. If this is a public bid, when is the bid opening?

    -- mm/dd/yy

  6. What is the contract period?


  7. Is an escalator clause allowed?

    Yes No

  8. How should this request be quoted? (check all that apply)

    My stock items only               Products specified                
    Equivalent to products specified  Lowest cost to meet spec        
    
  9. When do you need to have pricing returned to you?


  10. If we have questions, what is the best time to reach you?


  11. What manufacturer are you requesting pricing for?
    (note: please complete a separate bid request for each manufacturer requested)


  12. Please give us quantities, product descriptions 
    OR product numbers for your quote request:

    Qty Description

    Shipping Information
    Street Address
    Address (cont.)
    City
    State
    Zip Code
    Please list any additional comments related to this request:

   

 

If you have trouble using this form, please Email:  Angel Myers
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