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King Dick Products: Request for Quotation

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To reach our sales department:
Phones: (800) 638-1830 or (410) 358-3130
Hours: Phones: 9:00 AM - 5:30 PM Monday thru Friday

Please complete the form below with enough information
to assure an accurate quotation.

To send this form via e-mail: press the 'SEND...' button. If your browser does not allow you to fill in forms, then you may print this form and either fax it, or mail it to us.


Please enter your requests here:   (Note: netscape users may not see proper column alignment)


Company name:
Your Name:
Phone number:
Extension no.:
Fax number:
E-mail address:
(We can only acknowledge your request by e-mail if you have listed an e-mail address.)

* Optional response

Would you like to be contacted by phone?
Yes
No

Would you like to open a new account? (We will fax or e-mail a credit application form)
Yes
No

Into what category would your requested application fit?

Optional info.
Your title :
Street address:
Mail stop (If required):
City:
State:
Zip:
Country (Only if not USA):
Your web page address ( URL)*:

Please do NOT press the 'SEND' button more than once. Please be patient after pressing the 'SEND' button. It may take a short while before your submission is acknowledged. (note: your name and your e-mail address will not display in the acknowledgement)

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