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Please fill out the following form in order to bid on one of the parts shown on the Vendor data page. (See Privacy statement.)
Required information is indicated in BOLD type.

BID INFORMATION
KEPCO PART NO. (Please Select) BID PRICE ($US)
 BID QTY
 VENDOR PART NO
ADDITIONAL PART NOS. (Please Select) BID PRICE ($US)
 BID QTY
 VENDOR PART NO
(Please Select) BID PRICE ($US)
 BID QTY
 VENDOR PART NO
(Please Select) BID PRICE ($US)
 BID QTY
 VENDOR PART NO
(Please Select) BID PRICE ($US)
 BID QTY
 VENDOR PART NO
(Please Select) BID PRICE ($US)
 BID QTY
 VENDOR PART NO
(Please Select) BID PRICE ($US)
 BID QTY
 VENDOR PART NO
(Please Select) BID PRICE ($US)
 BID QTY
 VENDOR PART NO
Conditions (If none, type NONE)
VENDOR INFORMATION
Company Name:
Authorized Bidder (Name):
Authorized Bidder (Title):
Address:
STREET:
CITY:
STATE:
ZIP:
COUNTRY:
Telephone No.:
FAX No.:
E-Mail Address:
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What happens to information collected by Kepco

Personal or credit card information supplied to Kepco is used to better serve our customers and is never sold, rented or traded. The e-mail addresses of those who communicate with us via e-mail, and any information volunteered by the customer, such as survey information, site registrations, or e-commerce is used to contact customers and/or to improve the content of our Web pages.

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KEPCO, INC. • 131-38 SANFORD AVENUE • FLUSHING, NY. 11355 U.S.A.
TEL (718) 461-7000 • FAX (718) 767-1102
www.kepcopower.com • email: hq@kepcopower.com