Quote Form - Membranes International Inc.

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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

Custom sized sheets and discounted pricing are available for large volume orders.

AXM-100 (AMI-7001S)	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	$500
48" x 120" (1.2m x 3.0m) one sheet	$700
CXM-200 (CMI-7000S)	Price per sheet	Sheets	Total
48" x 20" (1.2m x 0.5m) one sheet	$200
48" x 40" (1.2m x 1.0m) one sheet	$400
48" x 80" (1.2m x 2.0m) one sheet	$600
48" x 120" (1.2m x 3.0m) one sheet	$800
GRAND TOTAL

Upon receipt of your order request, you will receive a quotation inclusive of shipping charges for pre-payment. Custom sized sheets are available for large volume orders.

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