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    3.6 Quotation Form

    Uploaded by

    kyawthyun612

    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd

    3.6 Quotation Form

    Uploaded by

    kyawthyun612
    32 views2 pages

    Copyright

    © © All Rights Reserved

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    PDF, TXT or read online from Scribd

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    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd
    Download as pdf or txt
    32 views2 pages

    3.6 Quotation Form

    Uploaded by

    kyawthyun612

    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd
    Download as pdf or txt
    You are on page 1of 2

    Quotation Form

    To : Sun Community Health

    : No (3/1), Kant Kaw Myaing Street, Parami, Yankin Township

    Subject : Quotation for CXR center/ Lab investigation/ Hospital/………………………………

    Date : ……………………………………

    Dear SCH Team,

    Please kindly be informed that I would like to submit quotation for CXR center/ Lab investigation/
    Hospital/ …………………………………………………………………………………………………..…………. For the
    year 2024.

    If I would like to change the quotation, we will inform SCH with official letter one month advance.

    Fees for …………………………………….: ………………………………………………… MMKs/per case

    Validity Date : One Month from submission

    Payment Terms : Monthly Payment

    Signature : …………………………………………………………………………

    Submitted Name : …………………………………………………………………………

    Center Name : …………………………………………………………………………

    Contact Phone Number : …………………………………………………………………………

    Email Address : …………………………………………………………………………

    Address : …………………………………………………………………………

    : …………………………………………………………………………

    : …………………………………………………………………………
    Company Information & Authorization

    Center name :………………………………………………………………………

    Owner name :………………………………………………………………………

    Address :……………………………………………………………………..

    : ……………………………………………………………………..

    : ……………………………………………………………………..

    Contact Phone Number : ……………………………………………………………………..

    Job established starting year : ……………………………………………………………………..

    Authorization Name ( 1 ) :………………………………………………………………………

    Contact Phone Number : ……………………………………………………………………..

    Authorization Name ( 2 ) :………………………………………………………………………

    Contact Phone Number : ……………………………………………………………………..

    Authorization Name ( 3 ) :………………………………………………………………………

    Contact Phone Number : ……………………………………………………………………..

    Data Collector’s Sign : ……………………. Owner(or) Contracted Person Sign

    Date Collector’s name:…………………….. NRC : ……………………………….

    Data Collect Date :…………………….. Date : ………………………………

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