P R I N T  A N D  FA X  F O R M
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FAX TO
TO:
Request for Quote or Information
COMPANY: Bundy Environmental Technology
FAX NO: (614) 259-6510

From: _______________________________________________________________
Company: _______________________________________________________________
Address: _______________________________________________________________
City, State, Zip, Country: _______________________________________________________________
Phone Number: _______________________________________________________________
Fax Number: _______________________________________________________________
E-mail address: _______________________________________________________________

PLEASE:

  Send me the following information:

  BET's brochures & literature

  Call me to discuss our situation.

  Provide a budget quote for the following:

Application: _________________________________________________________
Gas Volume: _________________________________________________________
Temperature: _________________________________________________________
Flue gas composition: _________________________________________________________
Emission requirements: _________________________________________________________

(Attach additional sheets with any specifications, scope of supply, and more detailed process information that is available.)

  Other:   __________________________________________________________________________