PROJECT QUOTATION

Sep 12, 2014 WQ-580690 Quotes are valid for 30 days.

2300 S 2300 W, SLC, UT, 84119 www.3-form.com 1.800.726.0126 1/4
PROJECT
Project Name: Cascade Periodontics
CUSTOMER (BILL TO)
Name: Miriah Odair
Company: ODair Design
Address:
2651 NE Community Lane
Bend, OR 97701
USA
Phone: 541.788.3841
Email: miriahodair@gmail.com
SHIP TO
Name: Miriah ODair
Company: ODair Design
Address:
2651 NE Community Lane
Bend, OR 97701
USA
Phone: 541.788.3841
Email: miriahodair@gmail.com
SPECIFIER (ARCHITECT OR DESIGNER)
Name: Jeff Wellman
Company: Steele Associates Architects
Address: Jeff Wellman
760 NW York Drive
Suite 200
Bend, OR 97701
USA
Phone: 541.382.9867
Email: jwellman@steele-arch.com
3FORM CONTACTS
Sales Coordinator: Amy Jenkins
Phone: 801.994.8164
Email: amy.jenkins@3-form.com
Sales rep: Tana Verbouwens
Phone: 541.633.5705
Fax: 801.649.2699
Email: tana.verbouwens@3-form.com
SHIPPER: OLD DOMINION FREIGHT LINE
*Exclude freight Insurance
Prior Notification (Additional $35 fee)
**Lift Gate (Additional $100 fee)
**Inside Delivery (Additional fee will apply)
*If the buyer checks this box 3form will not charge for shipping insurance and buyer will be responsible for purchasing replacements of any materials that are damaged in transit.
**Required with Residential.
PRODUCTS
Qty Description Price Ext Price
2 Product Line: Varia Ecoresin
Style: Amazon Grove
Gauge: 1/4"
Face Finish: sandstone
Back Finish: sandstone
Size: 48.0x96.0
Material Direction: pattern parallel to the 96" side
Disclaimer: Varia system panels utilizing natural products as a
decorative interlayer may change in appearance over time. Natural
materials are also subject to inherent inconsistency in color, texture,
and shape.
$891.20 $1,782.40
TOTALS
PROJECT QUOTATION
Sep 12, 2014 WQ-580690 Quotes are valid for 30 days.
2300 S 2300 W, SLC, UT, 84119 www.3-form.com 1.800.726.0126 2/4
Products Total: $1,782.40
Shipping And Packaging $223.10
Freight Insurance $13.37
Subtotal $2,018.87
Sales tax $0.00
Total $2,018.87
PROJECT QUOTATION
Sep 12, 2014 WQ-580690 Quotes are valid for 30 days.
2300 S 2300 W, SLC, UT, 84119 www.3-form.com 1.800.726.0126 3/4
BASED ON THIS QUOTE YOUR ESTIMATED LEAD TIME IS 2 WEEKS TO SHIP. ANY CHANGE IN THE
PRODUCT, QUANTITIES, OR SERVICES COULD AFFECT YOUR LEAD TIME.
For a list of standard products that qualify for the two week lead time please go to www.3-form.com/orderfaq 1.
Orders can be expedited for an additional fee, depending on material availability and production schedule. Expedite fees range from 25% to 40% of order depending on desired lead 2.
time and the order size. For specific information go to www.3-form.com/orderfaq
3form products are made to order, therefore we cannot accept returns. 3.
Sheet size and gauge tolerance varies depending on product. For more information on this contact your Project Manager. 4.
50% deposit is due upon receipt of a signed P.O., with the balance due prior to shipment. Check copies are scanned to 3form's bank for deposit. 5.
Orders ship F.O.B. Salt Lake City. Freight is prepaid and billed to Customer, or Freight Collect. 6.
Cancellation fee for signed P.O.s is 10% of original order value plus a fee for the work completed through the cancellation date. 7.
Custom Fabrication is available in-house. Please call for details. Customer acknowledges that, to the extent any product ordered is to be fabricated, customer (a) has reviewed and 8.
agreed that all seams are visible and subject to some slight irregularities and, (b) understands that if the fabricated product is to be heat draped or molded, the surface finish of the
Varia product will be subject to slight irregularities due to the fabrication process.
Materials are subject to 3form's limited product warranty and product specifications. Please review at http://www.3-form.com/downloads/3form_warranty.pdf 9.
Lead time for custom, oversize sheets, orders including fabrication or large volumes will be determined at time of order placement. Lead times are subject to change. 10.
A fork lift with long tine forks is required for safely unloading the shipment. Failure to use a fork lift equipped with long tines may void your 3form warranty. Please inspect your 11.
shipment for damage prior to signing the delivery receipt. On the rare occasion that the shipment is damaged please accept the delivery and note the damage on the receipt, take
pictures of the shipment prior to unpacking, document any damage to the individual pieces, and forward all pictures to 3form as soon as possible. 3form is unable to help with a
shipping claim if concerns are not noted on the POD. Poured Glass orders are shipped with 'Shock Watch' and 'Tip and Tell' indicators on the exterior of the crate. Please inspect these
prior to accepting delivery and note any damage on the POD.
All prices are in USD. 12.
SALE OF THESE GOODS ARE SUBJECT TO 3FORM'S CONDITIONS OF SALE FOUND AT
HTTP://WWW.3-FORM.COM/DOWNLOADS/CONDITIONSOFSALE
By completing the information below, I am requesting that this Quote be used as my Purchase Order.
Name Title
Customer PO Number
*Customer PO Numbers are for reference only. Details in this quote supercede any details in a PO. Please ensure this quote's accuracy prior to ordering.
payment method
check check card Other
*Please include a copy of your check when faxing your order to begin production immediately.
Please include the 3form quote number (WQ-580690) on all check payments.
Please make checks payable to 3form.
Credit Card Info
Name On Card
CC #
Expiration Date
CCV Billing Zip
*I understand a 2% credit card convenience fee will be added to my order total if the amount charged, to any number of credit cards, for my order is $5000.00 or greater.
*I'm authorizing 3form to charge my card 50% to place the order, as well as at the time of shipping for the remaining balance due on the order.
Please Initial
Signature Date
By signing this document, I am confirming all details including the customer contact information and shipping information as indicated on this quote are correct.
Office Use Only
Project Manager:
PROJECT QUOTATION
Sep 12, 2014 WQ-580690 Quotes are valid for 30 days.
2300 S 2300 W, SLC, UT, 84119 www.3-form.com 1.800.726.0126 4/4
(2) 48.0x96.0 0.25
Amazon Grove