International Request for Quotation
Use this form to request a quotation of AI and ET equipment from Agtech, Inc. USA
Date of Request
What day are you submitting this request for quote?
MM
/
DD
/
YYYY
What is your name (company or personal)?
Please enter either your personal name or your company name
Your answer
Customer Number
What is your customer number at Agtech?
Your answer
What is your email address?
If applicable, please include email address associated with your account.
Your answer
Is this an URGENT Request for Quotation?
Is this a standard, stocking request? Or urgent for a specific project?
What is your phone number (including country code)?
Please list best phone number you can be reached at within the next 12 hours.
Your answer
Are you an authorized Agtech Distributor?
Have you been granted distributorship rights in a specific country?
What is your preferred shipping method for this order?
Ocean is cheaper, but slower. Air is faster, but more expensive.
What is your nearest International Airport?
For freight planning purposes
Your answer
What is your nearest Ocean Port?
For freight planning purposes
Your answer
Do you already have a customs broker?
If you have a broker, who is the person or company?
Your answer
Please confirm the shipping address for this order
Your answer
Please confirm billing address for this order
Your answer
Items Requested (please list each item on separate line)
FORMAT : QTY, Agtech Product Number, Description : Example "50, E27, y-tubing"
Your answer
Comments / Questions
Please enter any questions, comments, or clarifications regarding your request for quotation.
Your answer
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