REQUEST FOR QUOTATION
(fill in form and send as an attachment to globenet@erols.com)

CONTACT INFORMATION
Company name: _____________________________
Contact name: _____________________________
Title: ____________________________________
Address 1: ________________________________ 
Address 2: ________________________________
City: ________________________ State: _____ 
Country: ________________ Zip: ____________ 
Phone: ____________________________________ 
Fax: ______________________________________
Email: ____________________________________
Your Ref: _________________________________

REQUEST INFORMATION:
Item #     NSN             Description            P/N        Qty      UOM

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Other details: __________________________________
_________________________________________________
Payment Terms: __________________________________
Quote Deadline: _________________________________

Delivery:
U.S Destination: ________________________________
_________________________________________________

Other Destination: ______________________________
_________________________________________________

How did you hear about us?
Thomas register: ___ Search engine: ___ Word of mouth: ___ SBA: ___ 
Other: _______________________________________

Please send completed rfq to:
GlobeNet, Inc.
8436 Frye Road, Alexandria, VA 22309
Phone: (703) 360-9500
Fax: (703) 360-9595
Email: globenet@erols.com