CONTACT INFORMATION
Company name:______________________________________
Contact name:______________________________ Title:_________________________
Address 1:________________________________ Address 2:_______________________
City:______________________ State:_____ Country:________________ Zip:__________
Phone:_____________________________ Fax:_______________________________
Email:______________________________
Your Ref:____________________________
| Item # | NSN | Description | P/N | Qty | UOM |
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| Other Details: |
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| Payment terms: |
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| Quote Deadline: (GlobeNet prefers 2-3 wks turnaround depending on # of items, etc...) |
| Delivery: U.S. Destination:_________________________________________________________ Other Destination:_______________________________________________________ |
GlobeNet, Inc., 8436 Frye Road, Alexandria, VA 22309
Phone: (703) 360-9500, Fax: (703) 360-9595
Email: globenet@erols.com
Text Version (use for email requests)
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