REQUEST FOR PRICE QUOTATION

Canvass Form

Purchase Request No.: Canvass No.:

Approved Budget for the Contract (ABC): Date:

GENTLEMEN:

Please quote your lowest prices for each of the following item(s) specified below including the total amount in
legible style (preferably typewritten) and return this duly accomplished and signed by the company’s authorized
representative. For clarifications, please contact _______________.

ENGR. MARLON O. BIAGTAN

Canvasser OIC-Project Manager, DICT-NBP

Item Total
QTY Unit Description Unit Cost Brand Model
No.: Amount

After having carefully read and accepted your General Conditions, I/We quote you on the item(s) at prices indicated above.

Supplier’s Representative:
(Signature over Printed Name)
Company Name:
Address:
Telephone No.:
eMail:
Date of Quotation:
(Photocopy of Mayors
permit, BIR, TIN#)