Fleet Quotation Request

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To receive a quotation on your current requirements, please print this page complete with the required information and fax to 902- 468-7270, attention Byron Feltmate.

Customer Name: __________________________________

Telephone : ( ) _______ -_____________

Fax : ( ) _______ - _______________

EMAIL: ___________________________________________

Qty: ___________ Model:_____________

Year:__________Paint Code :__________ Trim Code:______________

Option Code			Description