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OETC Category Two Mini-Bid Template
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OETC Form 470 SPIN220004403
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Applicant Information:Vendor Information
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Name of Entity:School District XYZCompany Name:
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Contact Name:John SmithCompany SPIN:
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Contact 's Email Address:
Jsmith@xyz.eduContact Name:
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Contact's Title:IT DirectorContact E-mail:
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Name of State: ORContact Phone:
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*For use if submitting equipment other than the sample Make and Model
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OETC Member RequestVendor Response
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School/Library/Building Name
OETC Category
Sample Manufacturer Name
Sample Model Number
Description (optional)
Estimated QuantityCost per Unit
Extended Price (quantity * Cost per Unit)
E-Rate Eligibility (0-100%)
Equivalent Make *Equivalent Model*
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XYZ HighWireless Networking15 $ 1,000.00 $ 15,000.00
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XYZ Middle $ -
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