ORDER/PROPOSAL
FORM Purchase
Order Number: _____________________
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ORDER/PROPOSAL
FORM Purchase
Order Number: _____________________ |
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CLICK HERE FOR PDF PROPOSAL FORM FAX COMPLETED FORM TO THE OMNI COMMUNICATIONS WEST AT 702-362-8345. |
Internet Sales Division Attention: Karen Whisenhunt Tel: (702) 362-8245 Fax: (702) 362-8345 E-mail:kwhis@cox.net |
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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: | |||
| 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: | |||