To: 			Director of Government Logistics
Attn.:			Senior Supplies Officer B
Fax No.:	 	2116 0103
Your Ref.:	K/22/15-288
Our Ref.: _______________________

Proforma

Item	Total Available Quantity to be Supplied 
(piece)	Delivery Lead Time	F.I.S./Hong Kong*	
			Unit Rate
per piece
(HK$#)	
				
Surgical mask, regular size as per Technical Specifications attached		
Urgent Orders
Within _____ days from the date of the order

Normal Orders
Within _____ weeks from the date of the order

Notes: *	F.I.S. means free into store, i.e. the contractor is responsible for the delivery of the goods, at its own cost, to the designated storage area of the location(s) within Hong Kong.
	
         #	Please clearly specify the currency quoted if it is not quoted in Hong Kong dollars.	
		
Particulars of Goods	
1.	Brand Name / Model No. 
(if any)	
	
2.	Place of Origin	
	
3.	Packing	
______________ pieces / box

N.B.:	
Please use separate sheets if the space above is inadequate.
	
Signature of Person Authorised to sign 
this quotation (with company chop):		
Name in Block Letter:	
	
Name of Supplier:	
	
Tel. No.:	
	Fax No.:		Date: