To request a formal quote, please fill in the form below with your contact information, and we will email you a formal quote within 3-4 business days.  To request prices, please click the button on the right.

If you are located outside of the US or Canada, we might have a distributor in your area.  Please visit our International Distributor Page before submitting this form.

It is important to note that a formal quote is not required to order from us.  To order, please fill out our ALZET Order Form or our iPRECIO Order Form.

 

 

Requestor Information

We require prepayment from customers outside of North America and will provide the payment options with your quote.


Billing Information

Shipping Information

Options for shipping within the US are: FedEx ground, second day, and overnight. If one of these options is not selected here, we will include FedEx ground on your quote. For shipping costs not listed here, please contact us.


Products


ALZET Customer Service will contact you within 3-4 business days with your quote. You may wish to print this form before submitting your quote request so you have a copy for your records.