Quotation

From Falcon Direct, Inc.

36 – 20th Avenue NW

Birmingham, AL 35215

Thank you…….

for the opportunity of allowing us to quote on your requirements! Just tell us who you are and what you want. You can return this completed from by email to sales@falcondirect.com or fax to 1.800.489.2612. We’ll take it from there!

The Falcon Team, At your service!

Please tell us about yourself

Name	Organization
Address	City/State/Zip
Daytime phone	Type entity	Gov’t Institutional Business
Email address	Today’s date

Please tell us what you need

Qty	Model Number	Description

Is there anything else we need to know? _________________________________

______________________________________________________________________

If you would like to know more about us, please review the information below.

If acceptable, please sign in the space below and fax to 1.800.489.2611. Thanks again for the opportunity of quoting!

_________________________________________

Signature if responding by fax or Federal ID number if by Email

Copyright 2007 EZQuote.dot

User information. Delivery can normally be made within 10 days after receipt of order. You can pay by check with order or payment terms of Net 10 days for approved accounts. We also accept American Express, Discover, MasterCard, and VISA. Credit cards are subject to a 3% surcharge. Rate calculations for shipping charges are available at www.info4u.us/shipping.pdf. Products sold by Falcon Direct are warranted to be technically compliant with the manufacturers specifications. No other warranty relative to use of the equipment or related service, when applicable, is expressed or implied. Falcon Direct makes no claim for suitability or fitness of users purpose or application. Falcon Direct is not responsible for claims arising from the use of equipment or services provided by or through Falcon Direct in which there are losses attributed to the use or application of equipment and/or related services. User agrees to these terms as a condition of purchase. Return policy is available at www.info4u.us/returns.pdf. Warranty information – www.info4u.us/warranty.pdf

Phone 205.854.2611

Toll Free 1.800.489.2611

Fax 295.853.6178

Email sales@falcondirect.com

E-Z Quote/Order Form

Burch

2007-01-31