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* Denotes a Required Field

QUOTE   FORM

                                                 

P.O.#/ RFQ# :
         DATE :  
  *BUYER :
JOB TITLE :
  *COMPANY NAME :
  *TEL :
SHIP TO :
  *STREET :
FAX :
STREET :
  *CITY :
     *STATE :   
  *EMAIL :
CITY :
  *ZIP :
  *COUNTRY :
BILL TO :
STATE :
REF :
STREET :
COUNTRY :
REP. NAME :
CITY :
 
INDUSTRY :
ZIP :
STATE :
SIC CODE :
ATTN :
COUNTRY :
ITEM QTY. LEDTRONICS PART NO. DESCRIPTION

  SHIP VIA :                FREIGHT ACCT NO :


  NOTES :

    

   CC this form: (Email Address)

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 TERMS:
 * F.O.B. Torrance, CA                                                                                                 * Prices do not include cost for special handling, special packaging
 * No cancellations within 60 days of sheduled ship date without prior written approval.         * DD250's
 * No reschedules within 30 days of ship date without prior written approval.;                        * Source inspection
 * Standard warranty : 3 years from ship date.                                                                * Special certification other than standard C of C
 * (Pricing for these services must be requested prior to placement of order.