SALES QUOTE FORM

Complete this form and we will respond promptly. Enter all pertinent information before you press the 'Send' button. Make sure to Enter your Email address. We can't process your request without it.

*Name:
Title:
*Company:
*Address 1:
Address 2:
*City:
*State/Prov:
*Country:
*Zip Code:
*Phone:
Fax:
*Email:

Fields with an asterisk '*' must be filled in.

Do you have an established account with us? Y N

Purchase Time Frame? Now 1-2 weeks 2-4 weeks Over 1 month

PREFERRED SHIPPING METHOD

Fedex: Priority 2nd day Econ.
USPS Fedex (ALL Intl. Orders via Fedex)	Other

PREFERRED PAYMENT METHOD

VISA MC AMEX DISCOVER

Prepaid Check Prepaid Wire

Quantity	Item Description

Questions or Comments: (List Intel Dialogic Cards you are interested in!)

Home | Company | Products