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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.

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.) :
State/Province :
Zip/Postal Code :
Country :
Work Phone :
Home Phone :
FAX :
E-mail Address: *
Please provide the following ordering information:
QTYDESCRIPTION
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.*  

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                Copyright 1999 [KSH Marine]. All rights reserved.                                             
                Revised: June 26, 2014