Serving The Pacific Northwest With All Of Your Construction Equipment Rentals & Services Needs
1-800-810-1696
 
 
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Sales Inquiry

Date:   New Account?:
Salesman:   Phone #:
Customer:   Fax:
Contact:   E-Mail:
Billing
Address:
 
Start Date:   Job Address:

Time:

  Delivery Instructions:
Vendor:   Notes:
Eq. Make:      
Eq. Model:      
Eq. Unit #:      
Serial #:      
Hours:      
Attachments:      
P.O. #:      
Job #:      
Rates (Cost):::
Day: Week:
4-Weeks: Freight: (Each Way)
Rates (Sale):
Day: Week:
4-Weeks: Freight: (Each Way)

Code:   * In the box to the left, type the characters that you see from the picture above.  This helps ensure that a person, not an automated program, is submitting this form.
 
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