WV-43 REQUEST FOR QUOTATIONS Return By Req. No.

3:00 p.m. On 12/12/2007

THIS IS NOT AN ORDER Date: Acct. No.

Return To:
To Be Delivered To:
Southern WV Community & Technical College Chief Procurement Officer
Attn: Melissa Creakman Southern WV Community & Technical College
PO Box 2900, Dempsey Branch Road P.O. Box 2900
Mount Gay, WV 25637-2900 Mount Gay, WV 25637
Vendor
PLEASE NOTE DELIVERY REQUIREMENTS
AND QUOTE DEFINITE DELIVERY IN NUMBER
OF DAYS AFTER RECEIPT OF ORDER.

QUOTATIONS TO BE BASED ON TERMS AND

CONDITIONS PRINTED HEREON.

QUOTATIONS SUBMITTED BY
Vendor Name

By (Signature)
Blue Ink
Official Title

Delivery Requirements FEIN: Terms Delivery Date F.O.B.

Items No. Quantity Description Unit Price Amount

Resident Vendor Preference Request. I hereby certify that the above listed firm qualifies as a resident vendor and further request the
TOTAL $
resident vendor preference to be applied to this bid. Signature TOTAL $