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Order Forms 

   If you wish to order or receive a quote on an aquarium described on the Aquariums and Furniture page, please fill out the  Order Form below.  Be sure to include the Aquarium Number in the form.

   For a quote on a custom system, please fill out the Custom Aquarium Price Request form at the bottom of this page.

 

STANDARD SYSTEM ORDER FORM

This is an:

  Order

  Quotation  
For: Business   Residence  
Setup: Freshwater   Saltwater  

  

Aquarium Number   or go to Custom Form
Contact Person
Business Name
Shipping Address 1
Shipping Address 2
City
State/Province
Zip Code
Phone
FAX
E-Mail
Special Request  

   Standard systems include a clear backed acrylic aquarium, 30"  3/4 enclosed oak base and 7" canopy, undergravel filter, water pump, heater and heater module, air pump and air stone, standard lighting, decoration package, delivery and installation to local area.  If you wish to upgrade any item, please use the special request box at the bottom of the form.

 

CUSTOM AQUARIUM SYSTEM PRICE REQUEST

Contact Person
Business Name
Phone
FAX
E-Mail
Acrylic Aquarium:
L x W x H  
Shape
Background
Colored End Panel
FreFilter Location
      (if wet/dry)
OAK Base Cabinet
  3/4 Enclosed     Fully Enclosed  
Cabinet Finish
Custom Wood
Canopy
Lighting
Standard
Special (specify below)
OPTIONS  
Protein Skimmer
U.V. Sterilizer
Air Pump
Special Request:  

   Please allow 4 weeks delivery in local areas.  Price is F.O.B. delivered and installed.  Areas outside local delivery is quoted F.O.B. Seattle, WA.  Payment terms are 50% down with order and balance due upon successful installation.  Price does not include fish, salt mix, food or Washington State sales tax.

 

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  Aquarium Service Northwest
  330 SW 43rd St
  Suite K, PMB 456
  Renton, WA 98055

Seattle:  (206) 367-6036
South End (425) 254-1766
FAX (425) 254-1766
E-mail:  info@AquariumService.org