Order Quote Request Form

Please note: This is a request for a quote to be sent. Supplies will not be ordered until quote is agreed to and payment is collected. Shipping is not included in pricing and will be calculated separately on quote. Prices are approximate and may differ from shown.

Product	Select ST105L01 Practice kit $224.95 Platinum Uniform Patches $5.00 Platinum Pins $4.00 Paint kits $0.00 Extra Platinum Plaque $55.00	Quantity
Address	(No PO boxes)	City
Province	Select	Postal Code
Contact Name		Contact Phone Number
Email To Send Quote To
Notes	(Which platinum plaque(s) to order, separate quotes needed, etc)