Request for Quote

Section 1 - Equipment you want to buy from our inventory There are no items in your shopping cart. If you want to buy goods available in our inventory, please add them to your shopping cart before completing this form. Click here to go back to Our Inventory If you are interested only in products that are not part of our inventory, please continue completing the application

Section 2 - Other goods you want to buy Products that are not part of our inventory. Have you decided on a supplier for this purchase? Yes    No If Yes, Please provide the following information: Supplier Name City State Country Contact Name Telephone Number Will the equipment be exported from the U.S.? Yes    No Is the equipment manufactured in the U.S.? Yes    No Is the equipment new or used? New  Used  Both Additional comments on this equipment. If you have more than one supplier enter the other suppliers' information here If Not, would you like our assistance in obtaining valid suppliers? Yes    No

Section 3 - Transaction Details Estimated value of all equipment included in Section 1 and Section 2 (Your estimate of the total value of the purchase) Choose One $0-50,000 $50,000-100,000 $100,000-$200,000 $200,000-$350,000 $350,000-$1 million More than $1 million Payment Option Cash in Advance Letter of Credit Credit Terms up to 180 Days Medium Term Financing for Capital Goods Don't know, what are my options? If not paying in cash, approximate amount you would like to finance (US$) example: 750,000.00 or 750000 What will be the primary use of these goods? Choose One Goods to be re-sold Goods for rental to end-users Goods for the expansion of existing operations Goods for a new line of business/project Used in the manufacture of other end products Other (Specify) If Other, please specify

Section 4 - General Company Information Legal Name of Company Type of legal entity Corporation Limited Liability Partnership Other (specify) If Other, please specify Address Address City Province or State Country

Section 5 - Contact Information Mr. Mrs. Miss Contact Name Position Phone Number1 Include Country and City code Phone Number2 Include Country and City code Phone Number3 Include Country and City code Fax Number Include Country and City code e-mail address 1 e-mail address 2

Section 6 - Additional Company Information Company web site Year Established     Annual Sales (US$) example: 4,500,000.00 or 4500000     Number of Employees     Shareholders Equity (US$) example: 4,500,000.00 or 4500000 Primary Business Activity of company/group Choose One Agriculture Service Sector Airlines Mining Utilities Construccion Communications Manufacturing Distributor (Wholesale or Retail) Transportation and Warehousing Information Technology Finance Real Estate Consulting/Professional Services Educational Services Health Care Hotel and Food Services Petroleum and Gas Public Sector Institution Other (specify)      If Other, please specify Does the company belong to a group of companies?  Yes   No        If yes, please provide the following:     -Commercial name of group     -Number of related companies