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On-Line Request for Quote

GlobalWare Solutions Product Assembly RFQ

Requested by   
Customer Name    Date   
Customer Contact    Quote Due Date   
Customer Email     
Customer Phone   
Customer PO #   

Part Number   
Title   
Quantity  1    2    3    4

First Article required  Yes    Qty   New   
  No  Rerun   
FIRST ARTICLE TO:
Customer Name    Notes
Customer Location   
Customer Contact   
E-mail Address   
Fax #   
Customer Phone #   

ASSEMBLY
List all Components Below (Include all labels)     Serialization required
Part No. Description Quantity
Customer supplied Boms and assembly instructions may be submitted separately via email.
Additional Instructions

SHIPPING INSTRUCTIONS No. of ship locations
Ship to Splits
Quantity   Due Date  
Quantity   Due Date  
Quantity   Due Date  
Quantity   Due Date  
Quantity   Due Date  
Quantity   Due Date  
Additional Packing Instructions