Special Condsideration Request
Section 1 : Information needed for all request
*Dealer Name:
Rep Agency:
*Requested by:
Date (mm/dd/yy) :
*Email or fax (xxxyyyzzzz):
Special Request Related to:
Pricing
Lead Time
Finishes
Styles
Credit
Quality
Freight
Invoicing
Other
Special Request Details
*Description:
Impact on pricing ($ or %)
Total
Cabico
Rep
*Project Name:
*Cabico Job Number :
Invoice Number :
Project Details
Multiple Occurrences
Total number of units (approx.)
Total number of cabinets (approx.)
Average sale per cabinet (approx.)
Total project estimated sales (approx.)
Expected number of deliveries (approx.)
Expected date first delivery (approx.)
Expected date last delivery (approx.)
(Y/N)
(un.)
(cab.)
($/cab.)
($)
(un.)
(mm/dd/yy)
(mm/dd/yy)
* Background and Rationale related to the request :
Reserved to Cabico.
Decision to be confirmed by Cabico(1)
Accepted ____
Denied ____
From :___________________________
Date (mm/dd/yy) :____________
Authorization # :____________
Rational related to the decision :
*Required Fields
(1) : Authorized signee is Alain Ouzilleau.
