Ted Thorsen • 1-800-233-8358

QUOTE REQUEST FORM

Ted Thorsen Company will gladly provide quotes for products or items in or out of our catalog, in large quantities and/or modified and special designs. It is not necessary to reference our catalog, but would be helpful to assure proper identification.
Please complete the form below:

	Item/description: (Please Include: Function, Dimensions, Features, Finish, Casters as available. T.T. Page Number or Stock Reference if any.)
	Quantity:
	Page number or reference from other available literature or catalogs:
	Due date and "required by" information for this quote:

If a sketch or drawing is available, please send it to us by e-mail, fax, or "snail-mail" (conventional post)

[ E-MAIL Additional info to: info@tedthorsen.com ]

Please check the type of information contained in the files you are sending us. Check all that apply.

	Data
	Pictures
	Sketches
	My Company's Quote Request Form
	Other

Name:*
International Calling Code:
Area Code:*
Telephone Number:*
Your E-Mail Address: *

How shall we respond to your quote request?

	E-Mail
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Ted Thorsen LLC
350 Laird Street • Wilkes-Barre, PA 18702 • USA
TOLL FREE (US & Canada): 800-233-8358
International Phone: 570-706-2675 • Fax: 570-706-2699 • E-Mail: info@tedthorsen.com
New York City: 212-532-1330 • Se Habla Español • Fala-Se Português

Ted Thorsen LLC is a subsidiary of Numatech Industries, Inc.