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Q U O T A T I O N / O R D E R F O R M

Specify Sizes needed

2.5"
C _ ________________________

0.75"
C
D _ ________________________
D
L 3.5"
_ ________________________ T
L
T _ ________________________
1.5"
U-Bolt
(Round Bend)

Material __________________________________ Delivery Needed__________________________

Finish __________________________________ Quantity _________________________

End Use __________________________________

Name __________________________________ Phone _____________________________

Title __________________________________ Fax _____________________________

Company _ _________________________________ e-mail _____________________________

Address __________________________________ cell _____________________________

Address __________________________________ Comments _____________________________

City __________________________________ _ _______________________________________

State __________________________________ _ _______________________________________

Zip __________________________________ _ _______________________________________

_ _______________________________________

Lightning Bolt And Supply Inc. Phone# (225)272-6200


10626 South Choctaw Drive Fax# (225)272-7001
Baton Rouge, LA 70815 Email Eric@lbsbr.com