LebenTech
Innovative Solutions Inc.
6342 W. Sample Road
Coral Springs, Florida 33067
USA

Phone: 954-796-7107
Fax: 954-323-4784

Lebentech provides industries with the resources required to help achieve world class competitve advantages.

Request For Quotation

A quote for services is typically provided within three to five business days after receiving the written requirements. Quote requirements may be communicated to LebenTech via mail, fax 954-323-4784, email lennox.bennett@lebentech.com, or through this website. To minimize delay and confusion, it is very helpful if the following information is provided:

NOTE: Instructions for sending file attachments [i.e., specifications, special instructions, photos, drawings, etc.], are given after sending this form.

Requestor
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Point of Contact
First Name: *
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General Quote Information
Type of Quote Needed: Hourly Rate Consulting Charge
Special Needs: None
Recommendations
Graphical Representation
Statistical Analysis
Expected date for the start of Assignment:
NOTE: LebenTech prefers to have a purchase order at least five days prior to the start of an assignment to allow for proper contract review, planning and engineer selection.
Assignment name, Project, or Product Model:
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Support Engineers:
Additional Information:
Product / Process Requirements
Requirements: To Be Sent
Listed Below [ Specification, Deliverables ]
Requirement List:
Data Documentation Requirements

Report with data Engineering Analysis Raw data only None

NOTE: LebenTech reports attest to the data associated with the evaluated engineering problem, and represents the output of the engineering assessment and evaluation with special details associated with customer's deliverables requirements.

Data Documentation Media Preference:

Adobe PDF MS Word [protected]

Data Documentation Delivery Preference:

Email CD Hard Copy

NOTE: Additional charges may apply for CD and Hard Copy deliveries.

Any special needs, comments, or concerns:
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After sending the form you will have the opportunity to send us attachments.