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Quotation Form

Please fill out ENTIRE form. Thank you.

Your Name: *

Company Name: *

Street Address: *

City: *

State: *

ZIP: *

Country: *

Voice Phone Number & Area Code: *

Email Address: *

Application:

Have You Used a Perforator Before?

YES
NO

How Soon Are You Considering Purchasing?

Will You Require a Date?

YES
NO

If Yes, What Format?

DD.MM.YY
MM.DD.YY
Other

Will you require any inscription for the FIRST line?

YES
NO

If yes, what?

Will you require any inscription for the THIRD line?

YES
NO

If yes, what?

Do you need the FIRST line to be changeable?

YES
NO

Is the address above where you would be having the perforator shipped to?

YES
NO

How many units are you looking to purchase?

Please enter any other specific questions or requirements you have:

Phone

NOTE: IF your power requirement is other than 110-120 VAC YOU will need to locally purchase a portable step down transformer for each perforator.

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Ad Wizards – American Perforators
706 County Rd 119
Burnet, TX 78611
(512) 715-8008

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Home
Perforator Models & Additional Information
Perforation Samples
FAQs
Quotations
Testimonials