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PROPOSAL REQUEST
FOR PRICING:

Omni Communications Logo
Customer Information
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
Quantity
Description
Per Unit
Extension
       
       
       
       
       
       
       
       
       
       
Special Instructions:
Bid closing date and time:

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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