Quote Form - Membranes International Inc.

Fields marked with * are required.

Customer Information	Shipping Information (If different)
First Name *	First Name
Last Name *	Last Name
Company or Institution *	Company or Institution
Address *	Address


City *	City
State/Province *	State/Province
Postal Code *	Postal Code
Country *	Country
Country Code * Phone *	Country Code Phone
Your Email *	Shipping Email
Confirm Email *	Confirm Shipping Email

AMI-7001S Single Sheet	Price per sheet	Sheets	Total
48" x 20" (1.2m x 0.5m) one sheet	$175
48" x 40" (1.2m x 1.0m) one sheet	$350
48" x 80" (1.2m x 2.0m) one sheet	$550
48" x 120" (1.2m x 3.0m) one sheet	$700
CMI-7000S Single Sheet	Price per sheet	Sheets	Total
48" x 20" (1.2m x 0.5m) one sheet	$175
48" x 40" (1.2m x 1.0m) one sheet	$350
48" x 80" (1.2m x 2.0m) one sheet	$550
48" x 120" (1.2m x 3.0m) one sheet	$700
GRAND TOTAL

Upon receipt of your order request, you will receive an invoice inclusive of shipping charges for pre-payment. Please contact us in the comments box if you require customized sheet sizes not available on our price list. Please be advised there is a minimum order of USD 5,000.00 for custom orders.

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