Request For Quote (RFQ)

Please take a moment to provide the description of products you require and your contact information. One of our dedicated and knowledgeable representatives will contact you as soon as possible.
If you do not see the item you are looking for on our website please type the item information below.
If you have received pricing from another vendor and have a target price for purchase of the items below please enter the amount under 'My Offer $'.
For Rental RFQ please state rental length and requested start date in the comment box below.

Look up and add the item of your interest to the RFQ:

Part Number Look up above or enter here	Description Look up above or enter here	Qty or rental in weeks	Condition Select acceptable Conditions	RFQ For Purchase, Rental, etc	My Offer $* My budget or price to beat
			New -NE New Surplus - NS >Refurbished - RF >As Removed / As Is - AR
			New -NE New Surplus - NS >Refurbished - RF >As Removed / As Is - AR
			New -NE New Surplus - NS >Refurbished - RF >As Removed / As Is - AR

Attachment:

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You can attach the list of items you would like to purchase and / or trade in.

Note: you can login to have your company information copied to this form.

Name: *

E-mail: *

Company Name: *

Company Type:

Address Line 1:

Address Line 2:

City:

State:

Province, Region, County:

Postal Code:

Country: *

Final Destination Country: (If different)

Phone:

Fax:

Specific requirements or other comments:

My Reference Number: *Please state full shipping address and level of service if you would like us to include estimated shipping charges

I want to receive acknowledgement by email

Fields marked with * are required

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