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Company Name
Address
Contact Name
Phone Number
Email Address
Request for Quote (RFQ) Number if applicable |
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Type of material: Flux or Magnesium Chloride
Flux application
Magnesium Chloride application
Moisture requirements (include material specifications if applicable) |
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Bags
Bulk Sacks/Supersacks
Drums
Other (please specify) |
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If other than F.O.B. Cleveland, OH or
Albany, OR including Land, Ocean and/or Air. |