Clean Energy International

Clean Energy International

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Clean Energy International Product Quotation Form
Email or fax completed Order Form to: CEI's Email: christineqian@cleanenergyinternational.com CEI's Fax: 1 (613) 842-0702 Submit this form to order product or receive a quotation

*Buyer's Information*
First Name:
Last Name:
*Company Name:**
Telephone Number:
Fax Number:
E-mail Address:

*Product Information*
Product Name	Quantity	Price**




*Shipping Information*
Receipient's Name:
*Company:**
Street No./Apt:
City:
Province/State:
Country:
Postal Code:
Telephone:

*Billing Information*	(If different from shipping address)
Name:
*Company:**
Street No./Apt:
City:
Province/State:
Country:
Postal Code:
Telephone:

* if applicable	** if price is listed

Preferred Payment Method	Cheque Major Credit Card E-mail Wire Transfer

Thank you. Someone from CEI will contact you shortly with a price and shipping quote.