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Request for Quote

We have a Request for Quotation form available now online.

If you have any problems with the form submission, you have the option of downloading a form in Microsoft Word format. Please right-click to download the document. When you open it, click "Read Only", then complete the information required, save the file and email it to Neil.

First Name: Date:
Last Name: Mailing Address:
Company Name: Address Line 2:
Area Code: City:
Phone: State/Province:
Fax: Posta/Zip Code:
Email Address: Country:
Product Required: Pressure Rating:
Temperature Rating: H2S Content:

CO2 Content:

Drill Stem Test or Under Balanced Sub Thread Size and Type:
Special Requirements:
If you reside outside of Canada or the U.S., please supply your mailing address here:
Copyright © 2006 Braemar Energy Rentals Ltd.
Tel. (403) 347-3200 :: Fax (403) 347-1435
#7, 7895 - 49 Avenue :: Red Deer, Alberta, Canada T4N 2B4
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