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 QUOTATION FORM
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PRF NumberPRFMDA2400018
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SUPPLIER DETAILS
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Name (of shop, company etc.)
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Address
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Name of owner
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Phone No.
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E-mail
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SUPPLIER DECLARATIONS
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The supplier agrees and acknowledges that…Supplier AcceptanceComments
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for any future orders placed, the Terms & Conditions shared as part of the contract will apply.
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to adhere to all the mandatory People in Need policies, see: www.clovekvtisni.cz/policies
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that all pricing included in the quote will be valid for a minimum of 60 days
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this request for quotation does not constitute an order.
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S. No.Supplies/Services/Works description (specify type, quality, origin, exact size, material, place of delivery etc.)UnitQuantity RequestedCurrencyUnit priceTotal priceOffered supply (specify brand, name and other relevant parameters)Delivery Time
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specify type, quality, origin, exact size, material, place of delivery etc.e.g. pc, kg, hour, days, man/days, A4 pages, metres3 of digging, contruction etc.With VATWith VATtime necessary for delivering material to agreed place counted from moment when PIN places binding order with supplier (choose the unit=in days,weeks, months, etc.)
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1Coffee beans (1kg softpack) for coffee machine (middle or premium class coffee of the brands Lavazza, Dolce Aroma, Manuel Caffee, Ili, Julius Meinl or similar)package96MDL0
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2Sugar sachets 200 pcs*5gr (1kg pack)package80MDL0
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3Wrapped tea bags (approx. 20 bags x 1,75-2g in a pack) (middle or premium class tea of the brands Lipton, TESS, Riston, Richard, Althaus - assorted)package144MDL0
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4Leaf tea, black and green (approx. 200gr. pack)kg6MDL0
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5Milk, UHT (1 Liter pack, 2,5% - 3,5% fat)Liter144MDL0
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5Coffee machine, superautomat, espresso/americano/capuchino with one button press, for min. 100 coffee cups/day or min. 10kg of coffe beens/month, for medium offices/bars, water tank min.2.5L, coffe container min. 0.6kg
In case machine will be offered for free, please feel 0 in price field		pcs.1MDL0
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Add more lines to the Quotation form if required
Total price0
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PlaceSignatureStamp
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Date
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Full Name and Position
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