............... Quote Request

 

Contact Information:
Name of Estimator:
Name of Company:
Phone #:
Fax #:
Company Phone #:
Company Fax #:
Email:
Company Address:
Address 2:
City:
State:
ZIP:

Job Information:
Job Name:
Approximate Start Date:
Approximate End Date:
  
Site Address:
Address 2:
City:
State:
ZIP:
Site Phone #:
Site Fax #:
  
Product Selection:
Product:   Approximate Tonnage: 
Product:  Approximate Tonnage: 
Product:  Approximate Tonnage: 
   
Are there any products that the contract has slag written out of spec on? 
  Yes    No              
If Yes, what is the use of the material that is needed?  
If Yes, who is the owner? 
If Yes, who is the engineer? 
If Yes, what is the material type and tonnage? 

 
Specific Instructions:
Method of Delivery:
Cash/Pickup:
Existing Credit Application:
COD:
Is this a PennDOT Job?   Yes    No              
FAA Spec?   Yes    No              
SR #:
SR Section #:
County:
Group Job?   Yes    No              
Group #:
  
Will material need to be delivered?   Yes    No 
Can a Dump Trailer be accepted?   Yes    No 
Does material need to be tailgated?   Yes    No 
Dumped into a spreader box?   Yes    No 
Is a Hard Hat required?   Yes    No 
Is a Vest required?   Yes    No 
If the material is going to be delivered, please enter specific directions to the site:

 
Chuck Martin
Sales 		Office: 724-378-8888 Ext. #12
Fax: 724-375-8902
Nextel: 724-624-1196
sales@bvslag.com

 

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©2002 Beaver Valley Slag.  All rights reserved.
6010 Woodlawn Road * Aliquippa, PA  15001 * Phone: 724-378-8888