NOT VALID UNLESS REPRODUCED ON YOUR LETTERHEAD
To: Mid-Atlantic Group Network of Shared Services
RE: BLOCKHOUSE COMPANY, Contract # 2540
This letter is our designation to be included as a participant in the Mid-Atlantic Group Network of Shared Services agreement under all applicable terms and conditions and supercedes all previous GPO affiliations for this vendor.
It is our understanding that our participation in this agreement shall become effective no later than thirty (30) days after receipt of this authorized letter. MAGNET will notify the vendor/distributor of our intention to purchase.
If product(s) require shipment through a local distributor, please advise the distributor of choice and sales representative's name, if known:


DistributorSales Representative
Signature / Date
Print Name / Title
Facility
Street Address
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$
Kindly indicate estimated annual dollar volume