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Quotation Form

 

Need a quote, fill out our Quote form and we will get back to you within two business days.  The quote form will only hold 20 items.  If you need more room, the SUBMIT on the first Quote Form and then fill out a second quote form.  On the second form,  you need not fill out all the Bill or Ship to Information.  However, you will need to put in the Bill To - the name of your Company or Organization  and then Page 2, 3, 4, etc.

Bill To: Ship To:
Company/Organization Company/Organization
Address1 Address1
Address 2 Address 2
Address 3 Address 3
City/State/Zip Address 4

 

Quantity U/M Item Code Description Price Each Amount

SubTotal:

Shipping & Handling:

10%
of subtotal

Total:


Comments

Contact Person: *
Phone Number:
Fax Number:
Email Address: *

* Required field

  


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Phone: 800-225-8326 Email: dgs@carol.net Fax: 864-964-9104

Dillard Government Sales
Copyright 2005

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