Reference No.: BatStateU-FO-PRO-01 Effectivity Date: January 3, 2017 Revision No.
: 00
Title: QUOTATION/ CANVASS FORM
Date: Quotation No.:
Please quote your lowest price on the item/s listed below, subject to the General Conditions on the last page stating the shortest time of
delivery, and submit your quotation signed by your representative not later than ________________ in the return envelope attached
herewith.
Canvasser OIC-Procurement Officer
ITEM NO. UNIT ITEM AND DESCRIPTION QUANTITY UNIT PRICE
Brand Model: Warranty:
Delivery Period: Price Validity:
After having carefully read and accepted your General Conditions, I/We quote on the item/s at prices noted above.
Printed Name/ Signature
Company Name
Company Address
Contact No.