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1
General
Job Start Date *
Please select the Date.
Primary Plant
None selected
Conneaut Lake
Erie
Hillsville
Homer City
Koppel
Neville Island
New Kensington
NTS
Second Ave
Sterrettania
Wheatland #1
Wheatland #2
Zelienople
Please select the Plant.
Secondary Plant
None selected
Conneaut Lake
Erie
Hillsville
Homer City
Koppel
Neville Island
New Kensington
NTS
Second Ave
Sterrettania
Wheatland #1
Wheatland #2
Zelienople
Please select the Plant.
Job Name *
Please enter the Job Name.
Job Location *
Please enter the Job Location.
Materials to Purchase *
Please enter a description of Materials.
Total Tons to Purchase *
Please enter the Total Tons to Purchase.
PO Number
Please enter the PO Number.
Is Quote for a State Route?
Yes
No
Please indicate whether or not this is for a State Route.
2
Customer Detail
Company Name *
Please enter the company name.
First Name *
Please enter a First Name.
Last Name *
Please enter a Last Name.
Phone *
Please enter a valid Phone Number.
Email *
Please enter a valid Email.