Jardin Rotatif RFQ

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Company Name

Phone

Website

Address

Primary Contact

Primary Contact Phone

Primary Contact Email

Ship to Name

Ship To Address

Receiving Contact

Receiving Contact Address

Alternate Receiving Contact Name

Phone

Truck Level Loading Dock Onsite?

Yes

Please select one

Forklift or Pallet Jack Onsite?

Forklift

Pallet Jack

Please select all applicable

Receiving Hours

Estimated Date Required?

General Notes

Room Dimensions for Towers (L x W x H)

Grow System Required

Tower Size Required

Leg Sizes (Choose Size)(Required)