QVS - Request for Quotation
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 UPDATED: 5/21/13
 
REQUEST FOR QUOTATION

Reseller/OEM Only:
Please complete the form to request for a quotation. Our sales department will review your request. If you are not a QVS Reseller or an OEM project, a reseller permit will be required. Please allow one to three days for processing.

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Customer Information Product Information

Account No. (For QVS Reseller):

Company Name:

Name:*

E-mail Address:*

Account/Sales Representative:*

Daytime Telephone:*

Address:

City:

State/Province:

Postal Code:

Country:

Operation System:


Product Application:


Where did you learn about this product?

Is this your first QVS products?
Yes No

Your primary business classification?

How did you hear about QVS?
Part No.
Qty
Target Cost
Notes
Sample Needed for Evaluation: No Yes
If Yes, Please complete the following...
Payment Terms
MC VISA AMEX Charge to Account (QVS Reseller Only)
Card Number:

Expiration Date:

Billing Address: (if different from above)
Name:

Address:

**Note: You will be billed only at the end of your evaluation period, unless the product is returned or by special agreement.

For Customers Outside the United States & Canada
Shipping Methods: FEDEX UPS DHL Airborne Express
Shipping Account No.

Shipping Address:


Comments OEM/Custom Project Only:


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