ON-LINE PURCHASE QUOTATION FORM

Catalogue Control Data

P/N:

CAGE CD:

NSN:

P/R#:

DATE ISSUED:

QUOTE REQUIRED BY:

QUANTITY/UI:

RDD:

Days

Buyer Name & Address

BUYER NAME:

COMPANY NAME:

ADDRESS 1:

ADDRESS 2:

CITY:

STATE:

ZIP:

Buyer Control Data

BUYER CODE:

SOL#:

TELEPHONE #:

FAX#:

E-MAIL:

FOB:

DESTINATION

ORIGIN

CREDIT CARD PURCHASE?

YES

NO

Ship To Name & Address

COMPANY NAME:

ADDRESS 1:

ADDRESS 2:

CITY:

STATE:

ZIP:

Buyer Comments

Place a "cookie" on my machine to save my name and address data.

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