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Request for Quote
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        *Nature of your business:
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Chain Store
 
 
Individual Buyer 
*Subject:  
*Please describe your 
specific requirements:
 
*Estimated Quantity:  
We plan to purchase within:  
1 to 2 months Within 3 months
3 to 6 months After 6 months
YOUR CONTACT INFORMATION    
*Organisation/Company Name:  
*Contact Person:  
*Email:  
*Phone:  
*Do you want us to call you?:   Yes No
Fax:  
*Street Address:  
*City/State:  
Zip/Postal Code:  
*Country:  
 
 
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