Request for Price or Information Form
Please use complete this form to obtain a price quote on items you are contemplating purchasing for your department. Please use the Department Order Request Form to place a department order. Email Ken Verhulst if you have questions (ken.verhulst@davenport.edu).
What is your name? *
Your answer
Briefly describe the item or items you would you like to obtain a price quote or information about. *
Your answer
Please list any requests or questions you have concerning department orders (process, obtaining samples, time estimates, etc.). *
Your answer
(optional) Please provide additional information that might help with obtaining the price quote (previous purchase information, # of items expected to need, expected date items will be needed, vendor preference, etc.)
Your answer
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