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Please
PRINT, COMPLETE and FAX to 510-848-3366
Earthquake Gas Valve Source California, USA Tel. 510-843-3275 Fax 510-848-3366 www.EarthquakeValve.com |
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Shipping
Address - PLEASE
PRINT CLEARLY Company Name________________________________________________________________ Street Address_________________________________________________________________ City, State, Zip_________________________________________________________________ Telephone No. _____________________________Fax No. _____________________________ |
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Quote Request
- PLEASE CIRCLE
ONE Qty______ Price___________ Description_________________________________ Total_______________ Qty______ Price___________ Description_________________________________ Total_______________ Qty______ Price___________ Description_________________________________
Total_______________ Qty______ Price___________ Description_________________________________ Total_______________ |
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Qty______ Price___________ Description_________________________________ Total_______________ Qty______ Price___________ Description_________________________________ Total_______________ Qty______ Price___________ Description_________________________________
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California Sales Tax 8.25% __________________________ Shipping ________________________________________ Total ___________________________________________ |
Shipping & Handling
Fees*: . |
Notes