Request for Proposal Form

Request for Proposal form

Please fill out this form as completely as possible. One of our representatives will contact you shortly with a quote. The required fields are indicated by [ * ]. If you do not have a forms capable browser, please e-mail your request to sales@asiweb.com.

First Name*
Last Name*
Company
Street

City
State
Zip
Country
E-mail*
Phone
Fax
Product Manufacturer:		(i.e. Citrix, IBM, Wyse)
Product*		(i.e. MetaFrame XP, PC 300, Winterm 1200LE)
Part Number
Quantity*
Price
Additional Comments
		Thank you for using our on-line RFP form. If you have any suggestions on how we can improve this form, please e-mail us.