CI-90A Series: Request For Quotation

If you need immediate assistance, please contact us anytime.

Thank you for allowing us the opportunity to provide you a quotation.

Full Name *  
Job Title *  
Organization's Name *  
Address *  
Suite # / Department / Other  
City *  
State/Province/District *  
Postal Code *  
Country *  
Telephone *  
Email *  
Please, use your corporate email address.  Public domain emails (such as Gmail, Hotmail and yahoo) do require additional verification and may delay your request.
Your Company Website  
Model Number(s) to quote plus any Comments/Questions *  
Quantity *
Industry? *  
How did you find us? *  
Describe your application and other needs/requirements? *  
Please, provide
City, State and Country where the unit will be
ultimately installed? *
Failure to provide this information may delay or void your quotation.

Quotation Deadline  
    I wish to be contacted by a sales representative.

 I would like to receive product change notifications (impact on FDA and EU GMP compliance), product end-of-life notifications, new product introductions, and other miscellaneous technical updates.

Thank you for allowing us the opportunity to serve you. 
You will be sent a copy of this request as confirmation of this form validation.




Copyright © 2014.
All Rights Reserved.
Climet Instruments Company
A Venturedyne Company

(909) 793-2788  | Email:

Login  |  Careers  |  Privacy
 |  Site Map |  Contact Us