PMI Quote Request

(Non-Contract)

Please fill out the form with as detailed as you possibly can. Once we receive your request we will get a quote back to you within twenty-four to forty-eight hours. Please bare in mind that leaving things blank might cause a delay in receiving a quote. If you have extensive amounts of equipment we will be more than happy to come in and take a quick inventory list. Thank you for your interest!

Name
Company
Service Address
Phone #
Alternate Phone #
Fax #
E-Mail
Equipment List Please see comment below
How many separate locations will the PMI's be performed at? Please see comment below
How would you like us to contact you with a quote? (Please check all that apply)	Call me Fax me E-mail me
Additional comments or questions?

**Please list the type of equipment and the quantity of each; For example: 4 - CO2 Incubators. We can get the specific brands and models if the quote is accepted.**

**In this case 'Locations' means separate addresses, not rooms or buildings. If there is only one (1) address then simply type 1.**

PRIVACY POLICY

As part of our commitment to our customers, AL-TAR Services, Inc. shall
not give out or sell any vital customer information. This information includes but is not limited to:
addresses, phone numbers, contact names, and credit card numbers.