Quotation by Mythri

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									REQUEST FOR QUOTATION
TO: ATTENTION: COMPANY FAX NUMBER: ITEM QUANTITY __________________________________________________________________________
COMPANY NAME

___________________________________________________________________________ __________________________________________________________________________

DATE QUOTE NEEDED BY: ___________________________________________________________________________ UNIT DESCRIPTION DELIVERY UNIT COST EXTENSION TIME ARO INCL SHIPPING

QUOTATION VALID FOR _____ DAYS

Freight Terms: FOB Destination

Subtotal Applicable Tax

The Successful Vendor may be required to provide a certificate of insurance naming MCCD as an Additional insured

Shipping TOTAL

INCLUDED

SIGNATURE OF COMPANY REP: __________________________________________
DELIVERY SITE: ADDRESS: ATTENTION:

DATE: _______________________

__________________________________________________________________________ __________________________________________________________________________ __________________________________________________________________________ FAX QUOTATION TO: _________________________________
Rev 12/98

PHONE: ____________________________________


								
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