Quote Request Midian Electronics

Request a Quote

To request a quote on Midian's products please fill out the information in the form below. Required fields are indicated by an *. Most quotes are answered by the next business day. Please note, Midian does not share this information with any outside sources. All information is confidential and used for Midian business only.

Company Name:*    Contact Name:*   

E-mail:*                    Website:               

Phone:*                     Fax:                      

Address 1:*               Address 2:            

City:*                         State:*                  

Zip Code:                   Country:*               

Enter the product names and quantities you would like to be quoted on in the text boxes below. For each product you are requesting a quote for, please use a separate line. Also, please include the radio models the equipment is being installed into if applicable.

Quote 1
Product:*   Qty:*   Radio:  

Quote 2
Product:     Qty:     Radio:  

Quote 3
Product:     Qty:     Radio:  

Quote 4
Product:     Qty:     Radio:  

Quote 5
Product:     Qty:     Radio:  

Please mention any special delivery needs.

  Include a quote on freight 

How would you describe your business?:

Dealer   Distributor   Consultant   Manufacturer   Systems Integrator   Exporter   End User  
Government   Utility   Amateur  

Please send me a:

current catalog & price list tone signaling wall chart

Yes, I would like to receive occasional product updates via e-mail

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