GREEN LEAF®, INC. - Request for Quote
Please complete the following form and a member of the Green Leaf® Sales Team
will process your request within the next 2 business days.

Contact Name:
Company:
Address:
City:
State/Zip:	Alabama Alaska Arizona Arkansas California Colorado Connecticut Delaware District of Columbia Florida Georgia Hawaii Idaho Illinois Indiana Iowa Kansas Kentucky Louisiana Maine Maryland Massachusetts Michigan Minnesota Mississippi Missouri Montana Nebraska Nevada New Hampshire New Jersey New Mexico New York North Carolina North Dakota Ohio Oklahoma Oregon Pennsylvania Rhode Island South Carolina South Dakota Tennessee Texas Utah Vermont Virginia Washington West Virginia Wisconsin Wyoming
Country:
Phone:
Fax:
Email:
Website:

Please use GL part #'s (i.e. TU 050 E, TU 125 E, TU 200 E)

VALVES #
TRUE UNION 4 BOLT 6 BOLT SINGLE UNION HM QTY:
TRUE UNION 4 BOLT 6 BOLT SINGLE UNION HM QTY:

GATORLOCK® COUPLINGS #
LOCKING NON-LOCKING QTY:
LOCKING NON-LOCKING QTY:

Misc. Fluid Flow Products & Spray Accessories #
QTY:
QTY:

FITTINGS #
NOZZLE HOSE PIPE GARDEN TANK QTY: NYLON POLYPROPYLENE BOTH RESINS
NOZZLE HOSE PIPE GARDEN TANK QTY: NYLON POLYPROPYLENE BOTH RESINS

Additional Information:

RETURN TO CUSTOMER SUPPORT PAGE
*Information submitted above will be used internally by Green Leaf®, Inc.