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YOU ARE WELCOME
TO USE YOUR OWN FORM OR PRINT THIS ONE.
FAX COMPLETED FORM TO THE OMNI INTERNET SALES DIVISION. |
Internet Sales Division
Attention: Karen Whisenhunt 33 Carriage House Lane Austin, Texas 78737 Tel: (512) 301-2031 Fax: (512) 301-1029 E-mail:Internet Sales |
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Quantity
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Description
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Per Unit
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Extension
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| Special Instructions: |
Bid closing date and time:
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| System Use Charges | Total Equipment: | |
| Hook Up Fee: | Mobile Install: | |
| Per Radio: | Base Install: | |
| Per Phone: | Freight: | |
| Total Monthly: | Tax: | |
| (Tax not included) | TOTAL: | |
| License Fees | Payment Terms: | |
| F.C.C. | Comments: | |
| Coordination: | ||
| Submitted By: | Accepted By: | Date: |
| For Office Use Only |
Vendor Signature: | Vendor I.D. Number: | ||
| Title: | Date: | |||
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