Quote & Sample RequestClarksville, TN Phone Requested By (Rusken Team Member) * Last Name Phone Number Email Address Request Type Request Type Quote Sample Both Date Required By Customer Information * Address City State Zip Code First Name Last Name Phone Number Email Address Request Detail #1 * Width Depth Item Identification Style Test Flute MFG Joint CAD File # If Requesting Revision Samples * Ship Samples Via N/A FedEx Rusken Truck Sales Rep Pickup Number of Samples Number of Samples N/A 1 2 3 4 5 Quotes * Skid / Pallet * YesNo Piece / Bundle Quantity per Unit Payment Terms * Net 30 1% 10 Net 30 1% 10 Net 45 2% 10 Net 30 (requires CFO approval) Net 45 (requires CFO approval) N/A Ship Via (Quoting) * N/A Rusken / Our Truck CPU Other (see General Comments) Printing YesNo Alternate Ship-To * YesNo General Comments Do You Have Another Request? YesNo Connect withRusken First Name Last Name Email Address Message 6 + 13 = Submit CompanyContactFollowFollowFollowFollowFollowEMPLOYEE PORTALCompanyContactFollowFollowFollowFollowFollowEMPLOYEE PORTALCompanyContactFollowFollowFollowFollowFollow