REQUEST FOR QUOTATION We welcome your inquiries on volume or bulk purchases, large orders and bid requests. Please tell us as much as possible about your requirements so we may serve you better.

BILLING Company Name Contact Name Address City Province Postal Code Telephone Fax E-Mail

SHIPPING if different from Billing Company Name Contact Name Address City Province Postal Code Telephone Fax E-Mail

Have you purchased with us before YES / NO

PART NO.(If known)	QUANTITY	ITEM DESCRIPTION