Company Name

Phone

Email Address

Thanks! Now that we know who you are, what would you like a quote on?

Service

Product New Refurbished Either

Please describe the product and/or service you would like us to give you a quote on. Please include any information you think may be helpful. Please do not write more than what fits in the window or it will not appear when you print the page.

Almost there! How you would like your quote delivered?

Email	Phone
Post Office Mail	In Person

If you choose Mail or In Person and are not already a Comp-Ray customer, please list your address so that we may complete your request. If you are a Comp-Ray customer, you do not need to fill out this box. Please do not write more than what fits in the window or it will not appear when you print the page.

Thank you again for your interest in our company! Please print this page and fax it to 623-581-3830. You will be contacted by the next business day.