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INSTRUCTIONS

1] Select up to 3 Products that interest you in the first 3 items. Enter the quantity desired. If you are trading-in a similar type system, enter the product model# and manufacturer.

2] Select up to 3 options for the product selected.

3] Enter any comments or questions you may have.

4] Select RESET to redo the form or SEND to process your Quote Request.

We will send you our quotation by e-mail or fax, if selected, within 24 hours.

DISCOUNTS

Discounts will be applied with respect to type of business, payment terms, quantity' and tradein..

 

 

Request For Quotation Form

Please Fill in the following information so we may be able to process your request for a price quotation. In order for us to honor your request, you must enter all information requested. We will e-mail or Fax our quote to you within 24 hours.

Name: Company:
Addr: Suite:
City: State: Zip Code:
Country: Type Business:

Phone: Ext: Fax:
E-mail Addr:

Terms: COD (UPS only) Credit Card Net 30 (Account Required)

1] Select the Product(s) and Option(s) you would like to receive pricing on.
Item
Product
Qty.
Trade-in Model#/Manufacturer
1
2
3
2] Select Option(s) for 360, 560 and 660U systems
Item
Option
Qty.
4
5
6
Options for 460 Doppler Series
Item
Option
Qty.
7
8
9
Options for 660 and 700 Systems (float / 4-20mA input)
Item
Option
Qty.
10
11
12

3] Comments / Questions / Request:


Check this box if you would prefer that we fax you our quote.

Check this box if you would like us to keep you informed of new
products, special offers or other general information via e-mail.

4]

Control Electronics, Inc., P.O. Box 330, Brandamore, PA 19316

Phone: (610) 942-3190 Fax: (610) 942-3672

e-mail: cei@controlelectronics.com ship to: 148 Brandamore Rd., Brandamore, PA 19316

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