APPLICATION FOR QUOTATION

APPLICATION DATE:	07/29/2010
COMPANY NAME:
REPRESENTATIVE:
PHONE NUMBER:
E-MAIL:
END USER:
SHIP TO LOCATION:
CURRENT SUPPLIER:

ITEM DESCRIPTION (SIZE,COLOR,GRAM WEIGHT,NECK, PACK):

ANNUAL VOLUME:
RELEASE AMOUNT:
PRODUCT TO BE PACKED IN CONTAINERS:

THIS APPLICATION IS ONLY GOOD FOR THIRTY DAYS FROM THE ACCEPTANCE DATE ON PRICE QUOTE. AFTER 30 DAYS LEE CONTAINER WILL NOT BE OBLIGATED TO SUPPORT APPLICANT FOR THE BUSINESS QUOTED

APPLICANT NAME:

DATE:

07/29/2010