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Quote & Information Form

If you would like more information or a quote complete the pertinent parts of this form and press the submit button at the bottom of the page. Please provide your e-mail address so that we can contact you.  Your e-mail address does not automatically forward to us. In order to provide a tank built to your specifications, we will need a drawing of the tank you would like built. This can be easily done in one of two ways: by printing this page and fax it and the drawing of the tank to (928) 680-7379. Or by clicking on any of the following links for a fill-in-the-blanks drawing that you can use to provide the measurements needed: Auxiliary Fuel Tank  ,Boat Tank,  Toolbox/Tank Combo or Trailer Tongue Box.

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Please provide the following contact information (we need a phone number or e-mail address in order to respond to your inquiry):

Name  
Title  
Organization  
Street Address  
Address (cont.)  
City  
State/Province  
Zip/Postal Code  
Country  
Work Phone  
Home Phone  
FAX  
E-mail  

Please provide the following ordering information:

QTY DESCRIPTION

TRUCK TANKS: Please provide the following information about the application vehicle:

Year    
Make    
Model-Bed Size    
Fuel Type   

Describe the tank would like built. Include dimensions, type of sender and the locations and types of fittings. Please type your response using only letters, numbers and spaces. Do not use punctuation.  We had to bar punctuation from this field to keep someone from using this form for purposes other than contacting us.


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                Copyright © 1999 [KSH Marine]. All rights reserved.                                             
                Revised: March 03, 2011