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ITEM NO. ITEM & SPECIFICATION QTY/UNIT BRAND & MODEL OFFERED UNIT PRICE TOTAL PRICE Stratasys PLA White 60CI

SPOOL SIZE: 60 Cubic Inches Stratasys PLA White 90CI SPOOL SIZE: 90 Cubic Inches Stratasys ABS-M30 Black 60CI SPOOL SIZE: 60 Cubic Inches

Canvassed by:

EGT/08/03/2021

1 2pcs

2 2pcs

3 2pcs

Please attach brochure and indicate days of delivery

4. Forthwith submit the accomplished quotation duly signed by your representative.

Revision: 1

6. All items must conform with the internationally accepted standard and sub-standard items shall not be accepted.

Accomplished by:

BulSU-OP-PU-03F3

Name and Signature ABC: 57,000.00

Republic of the Philippines BULACAN STATE UNIVERSITY

City of Malolos, Bulacan

Quotation No. 21-303-08

Purchase Request No. G-2021-08-0500

**Mandatory to fill in**

COMPANY NAME:

ADDRESS:

REQUEST FOR QUOTATION FOR THE PROCUREMENT OF GOODS AND SERVICES

CONTACT No.

TIN No.

Purpose: For Filament Cosumables for Stratasys F170

Supplier's Representative (Print name and Signature) Date Accomplished : ___________________________

By the authority of the University President.

DR. DOLLY P. MAROMA BAC Chairman

2. It is mandatory to indicate the brand and/or model of the items being offered and to attach a brochure thereof 3. Indicate the warranty period in cases of equipment or whenever applicable.

5. Suppliers are required and mandated to attach and submit the following documentary requirements:

a) Valid Mayor's/ Business Permit; b) BIR Certificate of Registration; c) Authority to Print Receipt; d) DTI/SEC Registration; e) PhilGEPS Membership Certificate; and f) PCAB License in cases of Infrastructure projects.

EMAIL ADDRESS:

PhilGEPS Registration No.

1. Please quote your lowest price on the item/s listed below comprising the necessary taxes.

Delivery Period: 7 Calendar Days upon receipt of Purchase Order

INSTRUCTIONS TO SUPPLIERS:

whenever applicable

Referensi

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