Ken Washer
Request for Quote
RFQ Date
Quote Request Date
Customer Information
Customer
Contact Name *
Address *
E-mail Address *
City *
State
Phone Number *
Fax Number
Same as Bill to
Phone Number
City
Address
Customer
Zip *
State
Fax Number
Zip
Customer Ship to Information
Quotation Priority
Immediate Need
Active Project
Upcoming Project
Budgetary Only
(Purchase within 60 days)
(Purchase within 3-6 months)
(Purchase within 6 - 12 months)
(For future project)
Additional Contact Information
Utilities Information
Power Available
Hot Water Available
Cold Water Available
Scale Specifications
Washer Specifications
Equipment Required
Additional Information
Air Available
Gas Available
Steam Available
Scale
Serial Number
Product Information
Product #1
Product #2
Pollution
Pollution
Light
Medium
Heavy
Heavy
Medium
Light
Washer Model
MPW25
MPW50
Options
Remote Operator Panel
Drying Rack
Transfer Cart
Inline Filter for Hard Water
*Required Fields
Date Issued: 03/30/07 Supersedes: 03/20/07
Ken (Rev 2) QSF 7.2-1.2.1.8