PNY Technologies Pricing Request

* ALL FIELDS REQUIRED.

Date

CONTACT INFORMATION:

Submitted By
E-mail
Phone

CUSTOMER INFORMATION

Reseller Company Name
End User Company Name

DISTRIBUTOR

Sourcing Distributor of Choice (1)
Sourcing Distributor of Choice (2)

PRICING REQUEST 1:

Product Category
Product
Quantity / Estimated Annual Usage
Units Per System
Current Distribution Cost
Requested Distribution Cost
Competitor(s) if N/A, write 'none'
Competitive Cost

Pricing Request 2

Product Category
Product
Quantity / Estimated Annual Usage
Units Per System
Current Distribution Cost
Requested Distribution Cost
Competitor(s) if N/A, write 'none'
Competitive Cost

Pricing Request 3

Product Category
Product
Quantity / Estimated Annual Usage
Units Per System
Current Distribution Cost
Requested Distribution Cost
Competitor(s) if N/A, write 'none'
Competitive Cost

PROJECT INFORMATION

Project Start Date
Project End Date
Intended Use Case / Application
Other Intended Use Case / Application Description
Justification to Consider Special Pricing