BRENT JESSEE RECORDING & SUPPLY, INC.
1590 W. ALGONQUIN RD. #111
HOFFMAN ESTATES, IL  60192

VACUUM TUBE SHIPPING IDENTIFICATION


Please include the following information in all tube shipments to us for evaluation:

NAME__________________________________________________________

ADDRESS_______________________________________________________

CITY__________________STATE_____ZIP/POSTAL CODE______________

PHONE______________EMAIL______________________________________


What is the source of tube pricing for this shipment?  [ ] Email price quote.  
[ ] Telephone price quote.  [ ]Tube exchange per agreement.

(Leave blank if using our web page bidlist prices.  If your pricing is based on an email, telephone, or exchange agreement with us, you MUST attach documentation to support this.  Copy of emails, or date of telephone agreement, quote of prices of each tube, and with whom agreement was made is acceptable.  Without documentation of other pricing quotes, our web page bidlist prices will be used for valuation of this shipment.)


Do you want your rejects (if any) returned to you?  [ ]No.   [ ]Yes.
(If return of rejects is requested, the lowest cost return shipping will be deducted from your payment.)