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Thank you for your interest in Carr-Redwine and the opportunity to service your needs. This information will not be shared with any outside sources.

If you would rather send us your own request form, please fax the completed form to 713-643-5313.

Company:

Address: 

City:    State:    Zip:    Country:

Contact Person:

Telephone:             Fax:

E Mail:

Quote Needed: Asap    6-12 Hrs    12-24 Hrs

Estimated Annual Usage: Quoted amount only once
Quoted amount 2-4 time annually
Quoted amount 4 or more times annually
Preferred Shipping Method: Pick-up by your company Shipped by us
Preferred Method of Payment: Check/Cash Credit Card Open Account

 

Line Product or Part # Quantity

Special Instructions

 

 

 

 

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Designed by EDA Designs
Revised: November 30, 2005.