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<META NAME="description" CONTENT="GB Industrial Battery and Charger, Batteries and Chargers for Forklift Applications.">
<META NAME="Keywords"    CONTENT="forklift batteries,forklift battery,industrial batteries,industrial battery,fork lift batteries,fork lift battery,forklift,fork lift,industrial,charger,chargers,exide,general,gbc,enersys,gnb,hawker,bulldog,c-d,c&d,deka">


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<TITLE>Battery Price Request                                                                 - A written proposal will be emailed within 24hrs. Information boxes marked with an asterisk (*) require an answer.</TITLE></head>
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<input type="hidden" name="title" value="Battery Price Request                                                                 - A written proposal will be emailed within 24hrs. Information boxes marked with an asterisk (*) require an answer.">
<input type="hidden" name="esubj" value="Price Request - Battery">
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<TABLE WIDTH=100% BORDER=0 CELLPADDING=0 CELLSPACING=0 VALIGN="top">
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         <span style="color:#385D1A;font-size:12px;font-weight:bold;font-family:Verdana,Arial,Helvetica">Battery Price Request                                                                 - A written proposal will be emailed within 24hrs. Information boxes marked with an asterisk (*) require an answer.</span>
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Name of person to contact:

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<font color="red" size="-1">*</font></td>
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        <input type="hidden" name="name_176" value="Company Name:">
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<font face='Arial' size='2' color='#333333'>

Company Name:

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<font face='Arial' size='2' color='#333333'>

City and State / Province:

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<font color="red" size="-1">*</font></td>
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E-Mail Address:

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Phone number:

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<font face='Arial' size='2' color='#333333'>

Quantity needed:

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<font face='Arial' size='2' color='#333333'>

Battery voltage:

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<font face='Arial' size='2' color='#333333'>

Battery dimensions:

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Forklift make / model:

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<font face='Arial' size='2' color='#333333'>

Do you require installation (optional, $75 per hour)?

</font>


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            <TD><input type="radio" name="field_83" value="Yes">


<font face='Arial' size='2' color='#333333'>

Yes

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<font face='Arial' size='2' color='#333333'>

No

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        <TR><TD>


<font face='Arial' size='2' color='#333333'>

If yes, would we be required to bring another forklift for battery removal / installation?

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<font face='Arial' size='2' color='#333333'>

Yes

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No

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<font face='Arial' size='2' color='#333333'>

Will you have a scrap battery for pick up? There is no core charge if not.

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<font face='Arial' size='2' color='#333333'>

Yes

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<font face='Arial' size='2' color='#333333'>

No

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<font face='Arial' size='2' color='#333333'>

Would this purchase be taxable?

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<font face='Arial' size='2' color='#333333'>

Yes

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No

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Additional information, questions or comments:

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                                </td>
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                             <TD bgcolor="#BBD9A3">
<center><table border="0" cellpadding="0" cellspacing="3"><tr><td align="center">
<a href="gbindustrialbattery.com"></a>
<br>
<font face="helvetica,verdana, arial" size="1">Copyright: GB Industrial Battery, USA</font>

</td></tr></table></center>


<br>
<FONT FACE="verdana, arial, helvetica" SIZE="1">
<center>
<nobr>|<a href="index.html">GB - Home</A>|</nobr>

<nobr>|<a href="gpage1.html">How to Order</A>|</nobr>

<nobr>|Request Quote - BATTERY|</nobr>

<nobr>|<a href="form.html">Request Quote - CHARGER</A>|</nobr>

<nobr>|<a href="form1.html">Order Form - BATTERY</A>|</nobr>

<nobr>|<a href="external1.html">Battery Sizes and Specs.</A>|</nobr>

<nobr>|<a href="form3.html">Credit Application - Online</A>|</nobr>

<nobr>|<a href="external2.html">Credit Application - Printable</A>|</nobr>

<nobr>|<a href="form2.html">Warranty Registration</A>|</nobr>

<nobr>|<a href="gpage.html">Instructions - Online Forms</A>|</nobr>

<nobr>|<a href="contact.html">Suggestions</A>|</nobr>
</center>
</font>

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</TABLE>
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