Price_quote_form.doc

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Use of Firing Range in Buffalo, NY
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HSBP1017Q0015
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Price quote form

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Price Quote Form for

Customs and Border Protection

Use of Firing Range Please provide your price in the table below for 2017 (Jan 12 – Jan11). If your pricing structure for some items is different than that shown in the table, please explain your pricing for those items on attached sheets if necessary.

Company name: __________________________ Phone: _______________________ Person preparing quote: _____________________________ Date: _________________ Email: ________________________________

Signature: _______________________________ Fax: __________________________ DUNS #: _______________________________ Tax ID: __________________________

Units
Price per month
Total
Base year
05/01/16 - 04/30/17
12
$
$
Option Year 1
05/01/17 - 04/30/18
12
$
$
Option Year 2
05/01/18 - 04/30/19
12
$
$
Option Year 3
05/01/19 - 04/30/20
12
$
$
Grand Total
$

Note: Please include any additional miscellaneous charges below.

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